Active NPI
Peter Bruce Dunn
- Psychiatry Physician
- New York, NY
National Provider Identifier
1598923948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 109559
- Practice address
- 308 E 73Rd St
New York, NY 10021-4433 - Phone
- (212) 517-3954
- Fax
- (212) 472-4393
- NPI assigned
- Jun 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 109559 | NY | Primary |
Addresses
Primary practice location
308 E 73Rd St
New York, NY 10021-4433
Mailing address
308 E 73Rd St
New York, NY 10021-4433
Phone (212) 517-3954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2025 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109559 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212278400000",
"number": "1598923948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E 73RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214433",
"telephone_number": "212-517-3954",
"fax_number": "212-472-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E 73RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214433",
"telephone_number": "212-517-3954",
"fax_number": "212-472-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "PETER",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-01",
"last_updated": "2008-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "109559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.