Douglas Peterson, M.SC., L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006347-1 Issued in NY

Practice address

333 E 46TH St Apt 1J
New York, NY 10017-7426

Phone

(917) 217-8391

NPI assigned

Nov 9, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1972071777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 58TH ST APT 21D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 46TH ST APT 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177426",
            "telephone_number": "917-217-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "M.SC., L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006347-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Maude Peterson, LCSW
• Cecil Broady Peterson, M.D.
• Christine J. Peterson, M.D.
• Connor Michael Peterson
• Dana Nicole Peterson, SLP
• Edi M Peterson, LPC
• Elaine Peterson
• Erik Peterson, MD
• Jenna Peterson
• Keri L Peterson, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.