Dwayne Patterson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

25 Avenue D
New York, NY 10009-6935

Phone

(646) 395-4400

NPI assigned

Feb 13, 2018

Last updated

Feb 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1518467844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15608 RIVERSIDE DR W APT 5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327008",
            "telephone_number": "929-810-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AVENUE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096935",
            "telephone_number": "646-395-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DWAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135562210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Woods Patterson, M.S.W., L.C.S.W.
• Carlie Patterson, RPA-C
• Carole Avon Patterson, PH.D.
• Channa Patterson, MS.ED
• Deva-Gaye Patterson
• George T Patterson, MSW
• Hansell Earle Patterson, LCSW
• Jamel Patterson, MD
• Jeffery Patterson
• Julia Patterson

• Peer Specialist in New York, NY
• Providers in New York, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.