Melissa Peters, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004487 Issued in NY

Practice address

1149 Old Country Rd Ste B3
Riverhead, NY 11901-2060

Phone

(631) 591-2210

Fax

(631) 591-2211

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1689974487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD STE B3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012060",
            "telephone_number": "631-591-2210",
            "fax_number": "631-591-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD STE B3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012060",
            "telephone_number": "631-591-2210",
            "fax_number": "631-591-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Peros, FNP
• Andrew Eli Persits, M.D.
• Peter F Wigg PSYD Psychologist PC
• Peter G Sultan MD PC
• Peter Kilfoil
• Judith Marie Pierce, M.S.C.C.C-A
• Pilgrim Psychiatric Center
• Stephanie Pincar, LMSW
• Jonnathan M Pineda, LMT
• Jennifer Stephanie Pinto

• Acupuncturist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.