Individual provider Active NPI

Parry A Peet, DC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1720160195
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C04107 Issued in NY
Practice address
2 Spring Square Business Park
Newburgh, NY 12550-2567
Phone
(845) 566-1313
Fax
(845) 566-1379
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C04107 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

Other identifiers 7

IdentifierTypeStateIssuer
2003809OtherNYAETNA PROVIDER ID
10089518OtherNYCDCHP PROVIDER ID
911668OtherNYACN PROVIDER ID
PP105803OtherNYASH PROVIDER ID
815968OtherNYMPN PROVIDER ID
98L910OtherNYMVP PROVIDER ID
6004746OtherNYGHI PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000008 NY Practitioner - Chiropractic 0547449522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C04107NYMDChiropractor
004107NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Peet Family Chiropractic, PC Chiropractor CurrentSince Oct 27, 2010 Accepting new patients

Locations

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

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1720160195",
    "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": {
        "last_name": "PEET",
        "first_name": "PARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "C04107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2003809",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDCHP PROVIDER ID",
            "identifier": "10089518",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER ID",
            "identifier": "911668",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH PROVIDER ID",
            "identifier": "PP105803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN PROVIDER ID",
            "identifier": "815968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID",
            "identifier": "98L910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "6004746",
            "state": "NY"
        }
    ],
    "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.