Organization Active NPI

Peter G. Gorman DCPC

  • Chiropractor
  • Mahopac, NY
National Provider Identifier
1760559728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0002504.1 Issued in NY
Legal business name
PETER G. GORMAN DCPC
Practice address
11 Miller Rd
Mahopac, NY 10541-2219
Phone
(845) 628-4900
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gina Gorman
Title
Secretary Treasurer
Phone
(845) 628-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0002504.1 NY Primary

Addresses

Primary practice location

11 Miller Rd
Mahopac, NY 10541-2219

Mailing address

PO Box 873
Mahopac, NY 10541-0873
Phone (845) 628-4900

Other identifiers 1

IdentifierTypeStateIssuer
C02504.1OtherNYNYS WORKERS COMPENSATION

National Provider Directory

National Provider Directory

Locations

11 Miller Rd
Mahopac, NY 10541
Phone (845) 628-4900

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760559728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410873",
            "telephone_number": "845-628-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILLER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412219",
            "telephone_number": "845-628-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G. GORMAN DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "845-628-4900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0002504.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKERS COMPENSATION",
            "identifier": "C02504.1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.