Peter J Miceli MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PETER J MICELI MD PC

Practice address

1550 Richmond Ave
Staten Island, NY 10314-1510

Phone

(718) 982-0480

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter Joseph Miceli, M.D.

Title

President

Phone

(718) 982-0480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1740532829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141510",
            "telephone_number": "718-982-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141510",
            "telephone_number": "718-982-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J MICELI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-982-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Person Centered Care Services Inc
• Anthony Perugini
• Pesce Inc.
• Sari Pesso-Saada, MA, CCC-SLP
• Joanna C Pessolano, MD
• Dhannya Peter, RN
• Raijan Peters
• Sheikh Peters, L.P.N.
• Ariel D Petersen, OTR/L
• Lisa Petersen, NURSE

• Otolaryngology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.