Organization Active NPI

Debra a. Petrucci, M.D., P.C.

  • Neurological Surgery Physician
  • White Plains, NY
National Provider Identifier
1861714800
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
60190465 Issued in NY
Legal business name
DEBRA A. PETRUCCI, M.D., P.C.
Practice address
222 Westchester Avenue
Suite 403
White Plains, NY 10604-2906
Phone
(914) 949-9449
Fax
(914) 949-9445
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Debra A. Petrucci, M.D.
Title
President
Phone
(914) 949-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 60190465 NY Primary

Addresses

Primary practice location

222 Westchester Avenue
Suite 403
White Plains, NY 10604-2906

Mailing address

P.O. Box 848518
Boston, MA 02284-8518
Phone (914) 949-9449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1861714800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 848518",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848518",
            "telephone_number": "914-949-9449",
            "fax_number": "914-949-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVENUE",
            "address_2": "SUITE 403",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-949-9449",
            "fax_number": "914-949-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A. PETRUCCI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "PETRUCCI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-949-9449",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "60190465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.