Organization Active NPI

Mhroos Faik Barak Peters Physician P.C.

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1972059384
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249349 Issued in NY
Legal business name
MHROOS FAIK BARAK PETERS PHYSICIAN P.C.
Practice address
6 Peacock LN
Commack, NY 11725-4911
Phone
(631) 271-9151
NPI assigned
Aug 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Mhroos Faik Barak Peters, MD
Title
Owner
Phone
(516) 562-6383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 249349 NY Primary

Addresses

Primary practice location

6 Peacock LN
Commack, NY 11725-4911

Mailing address

6 Peacock Lane
Commack, NY - NEW YORK 11725
UM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1972059384",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6 PEACOCK LANE",
            "city": "COMMACK",
            "state": "NY - NEW YORK",
            "postal_code": "11725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PEACOCK LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254911",
            "telephone_number": "631-271-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHROOS FAIK BARAK PETERS PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "FAIK BARAK PETERS",
        "authorized_official_first_name": "MHROOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-562-6383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.