Ronald Peck

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-P-8722 Issued in NY

Practice address

1268 Forest Ave
Staten Island, NY 10302-2312

Phone

(718) 981-8117

NPI assigned

Apr 1, 2026

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Amethyst House , Inc.

  • Substance Abuse Rehabilitation Facility
  • Staten Island, NY
  • NPI 1952036303
  NPD (past)
• Camelot of Staten Island, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1942359476
  NPD (past)

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1750222170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BRIELLE AVE BLDG H",
            "address_2": "460 BRIELLE AVE BLDG H",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022312",
            "telephone_number": "718-981-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Heberton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103021415",
            "country_code": "US",
            "telephone_number": "718-448-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-P-8722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peccerillo, RD,CDN
• Alexa Nicole Pece
• Aharon Pechman
• Gilbert Joshua Medrano Pecho
• Jane Peck
• Gledi Peco, DPM
• Georgina Lolly Pecoraro, M.A., CCC-SLP
• John Henry Pecoraro Jr., SLP
• Pectus Services of Ny LLC
• Pediatric Care of New York P.C.

• Peer Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.