Peter Smith, DPM, Facfao, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3922830001 Issued in NY

Legal business name

PETER SMITH, DPM, FACFAO, PC

Doing business as

Peter Smith, DPM, PC

Practice address

207 Hallock Rd
Suite 4
Stony Brook, NY 11790-3033

Phone

(631) 689-2300

Fax

(631) 689-2078

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter Smith, D.P.M.

Title

President

Phone

(631) 689-2300

Specialties & licenses 2

Addresses

Other names 1

• Peter Smith, DPM, PC Doing business as

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1700057262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 4",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-689-2300",
            "fax_number": "631-689-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 4",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-689-2300",
            "fax_number": "631-689-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SMITH, DPM, FACFAO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "3922830001",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "3922830001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter Smith, DPM, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Michelle Perrone, M.D.
• Krishen Persaud
• Muhammad Khurram Perwaiz
• Sasha-Lee Pestana, DO
• Sarah Rose Pestieau, M.D.
• Savannah Peters
• Anne Virginia Peterson
• Jean Marie Peterson, AGNP-C
• Laura Petrozzo, RPA-C
• Anton Petuhovski, MD

• Durable Medical Equipment & Medical Supplies in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.