Petmar Diagnostics LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PETMAR DIAGNOSTICS LLC

Practice address

139 Centre St Ste 502
New York, NY 10013-4555

Phone

(631) 314-2301

Fax

(917) 551-5255

NPI assigned

May 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Peter Stallone

Title

Ceo

Phone

(631) 314-2301

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yun Feng, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
  • NPI 1891957916
  NPD (past)
• Wayne Wingchin Li, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1952428732
  NPD (past)

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1912353038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ALBANY ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291501",
            "telephone_number": "631-314-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134555",
            "telephone_number": "631-314-2301",
            "fax_number": "917-551-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETMAR DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "STALLONE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-314-2301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Petito
• Gabrielle Taylor Petito, MD
• Zainab Akbari Petiwala
• Jennifer R Petkos, CFNP
• Iva Petkovska, M.D.
• Michelle(Shelly) Petnov-Sherman, LCSW
• Petra Bernard LLC
• Electra Petra, OTR
• Carmine Brian Petracca, MD
• Paul Petrakos, DO

• Physiological Laboratory in New York, NY
• Providers in New York, NY by specialty
• Physiological Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.