Martina Petersen, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F430124 Issued in NY

Practice address

White Plains Hospital Center
Davis Ave @ East Post Road
White Plains, NY 10601

Phone

(914) 681-1158

Fax

(914) 681-2878

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://soapepic.montefiore.org/FhirProxyPrd/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Plains Hospital

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1043254139
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528099983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 OLD COUNTY RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412346",
            "telephone_number": "845-621-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WHITE PLAINS HOSPITAL CENTER",
            "address_2": "DAVIS AVE @ EAST POST ROAD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-681-1158",
            "fax_number": "914-681-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MARTINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Petagno
• Peter S. Liebert MD
• Samantha Patricia Peterkin, LMSW
• Eric Peters, DPM PC
• Joshua Behrens Peters, PT
• Kristin Peterson
• Nevline Petitfort
• Petra McCarthy Mental Health Counseling Services, PLLC
• Jolene Patricia Petrella
• Emily Lucia Petrillo

• Acute Care Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.