Active NPI
Parry A Peet, DC
- Chiropractor
- Newburgh, NY
National Provider Identifier
1720160195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C04107
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003809 | Other | NY | AETNA PROVIDER ID |
| 10089518 | Other | NY | CDCHP PROVIDER ID |
| 911668 | Other | NY | ACN PROVIDER ID |
| PP105803 | Other | NY | ASH PROVIDER ID |
| 815968 | Other | NY | MPN PROVIDER ID |
| 98L910 | Other | NY | MVP PROVIDER ID |
| 6004746 | Other | NY | GHI PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| C04107 | NY | MD | Chiropractor |
| 004107 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peet Family Chiropractic, PC | Chiropractor | Current | 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.
-
- Chiropractor
- Newburgh, NY
- NPI 1629388749
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.