Organization Active NPI

Peet Family Chiropractic, PC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1629388749
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004107-1 Issued in NY
Legal business name
PEET FAMILY CHIROPRACTIC, PC
Practice address
2 Spring Square Business Park
Newburgh, NY 12550-2567
Phone
(845) 566-1313
Fax
(845) 566-1379
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Dr. Parry A Peet, DCNPI 1720160195
Title
President
Phone
(845) 566-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X004107-1 NY Primary

Addresses

Primary practice location

2 Spring Square Business Park
Newburgh, NY 12550-2567

Mailing address

2 Spring Square Business Park
Newburgh, NY 12550-2567
Phone (845) 566-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000006 NY Part B Supplier - Clinic/Group Practice 8729267703 Receives reassigned benefits from 1 practitioner
Practice locations: Newburgh, NY

National Provider Directory

National Provider Directory

Locations

2 Spring Square Business Park
#P
Newburgh, NY 12550
Phone (845) 566-1313

2 Spring Square Business Park
Newburgh, NY 12550
Phone (845) 566-1313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1629388749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPRING SQUARE BUSINESS PARK",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502567",
            "telephone_number": "845-566-1313",
            "fax_number": "845-566-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SPRING SQUARE BUSINESS PARK",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502567",
            "telephone_number": "845-566-1313",
            "fax_number": "845-566-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEET FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "PEET",
        "authorized_official_first_name": "PARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-566-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.