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MR. PETER ANTHONY FEDULLO PA
NPI 1275833931
Physician Assistant - Surgical in New York, NY

Active since October 28, 2010
622 W 168TH ST, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Peter Anthony Fedullo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER ANTHONY FEDULLO PA (NPI 1275833931) is an individual surgical provider in New York, New York, licensed in New York (014433) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1275833931
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PETER ANTHONY FEDULLOCredential: PA
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address11 4th Pl, Apt 3lBrooklyn, NY 11231-3356 · (585) 727-4387
Phone(212) 305-2500
Sole ProprietorNo
Enumeration DateOctober 28, 2010
✔ NPI 1275833931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 014433
622 W 168TH ST, New York, NY 10032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Fedullo's NPI number?

The NPI number for Peter Fedullo is 1275833931. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Peter Fedullo located?

Peter Fedullo practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Peter Fedullo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Peter Fedullo was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.