Debra A Petrucci, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

190465 Issued in NY

Practice address

4 Lafayette CT
Fishkill, NY 12524

Phone

(845) 896-9200

Fax

(203) 622-1240

NPI assigned

Jun 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

George Washington University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Neurosurgical PLLCGroup PAC ID 3678642741, 2 clinicians

Gotham Spine and Brain Surgery PLLCGroup PAC ID 9638609142, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: dpetrucci3452530@nychhc.direct-ci.com

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 York Neurosurgical PLLC

  • Neurological Surgery Physician
  • Fishkill, NY
  • NPI 1700050556
  Medicare reassignment Care Compare group NPD
• Gotham Spine and Brain Surgery, PLLC

  dba Morr Neurosurgery

  • Neurological Surgery Physician
  • Yonkers, NY
  • NPI 1093532954
  Medicare reassignment Care Compare group
• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment NPD
• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  Medicare reassignment
• Bronxcare Health System

  • Neurological Surgery Physician
  • Bronx, NY
  • NPI 1578613782
  NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD
• Neurological & Spine Surgery Assoc., P.C.

  • Specialist
  • Hawthorne, NY
  • NPI 1831149368
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1952345761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243036",
            "telephone_number": "845-896-9200",
            "fax_number": "203-622-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-9200",
            "fax_number": "203-622-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577679",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "190465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "190465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam John Payne, PA-C
• Michael D Pellicci
• Naomy Pena
• Brian David Peralta, O.D.
• Daniel Perkes, MD
• Lauraashley Pfeifer-Hughes, M.S., CCC-SLP
• Tonie Phillips, LMHC
• Physician Who Makes House Calls
• Physician Who Makes House Calls PC
• Andrew Pietris, PA-C

• Neurological Surgery Physician in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.