Christina L. Petersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010981 Issued in NY

Practice address

516 Route 303
Suite 3
Orangeburg, NY 10962-1309

Phone

(845) 398-7771

Fax

(845) 398-7777

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Life Family Chiropractic, PC

  dba New Life Chiropractic

  • Chiropractor
  • New City, NY
  • NPI 1003068404
  Medicare reassignment
• New Life Chiropractic

  • Chiropractor
  • New City, NY
  • NPI 1265611834
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811074925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FAWN HILL RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109873513",
            "telephone_number": "845-351-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "address_2": "SUITE 3",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621309",
            "telephone_number": "845-398-7771",
            "fax_number": "845-398-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaehyun Rita Park, OTR/L
• Sung Soo Park, M.D.
• Kunjal Yeshesh Patel
• Nadia Candice Patrick, REGISTERED NURSE
• Marcel Perl, MD
• Mary Petrovski, RPH
• Aniamma Philip
• Sicily Philip, RN
• Vineetha Philip
• Sonya Phillips

• Chiropractor in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.