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D T PETERSON DPM PC
NPI 1376845669
Podiatrist - Foot Surgery in Woodbury, NY

Active since November 19, 2010
8029 JERICHO TPKE, WOODBURY, NY 11797(516) 496-0900(516) 496-0901 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About D T Peterson Dpm Pc NPPES

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

D T PETERSON DPM PC (NPI 1376845669) is a healthcare organization registered as a foot surgery in Woodbury, New York and active in the NPI registry since November 2010. The organization lists Donald Thorgeir Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1376845669
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameD T PETERSON DPM PC
Location Address8029 JERICHO TPKEWoodbury, NY 11797-1212
Mailing Address8029 Jericho TpkeWoodbury, NY 11797-1212 · (516) 496-0900 · Fax (516) 496-0901
Phone(516) 496-0900
Fax(516) 496-0901
Organization SubpartNo
Authorized OfficialDonald Thorgeir PetersonOwner · (516) 496-0900
Enumeration DateNovember 19, 2010
Last NPPES UpdateNovember 29, 2010
✔ NPI 1376845669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N004585
8029 JERICHO TPKE, Woodbury, NY 11797
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Other Identifiers 2

Medicaid01349628-3NY
Medicare UPINT-93442NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. OWEN JAMES MCCRUDDEN DPM
Podiatrist (Foot Surgery)
8029 JERICHO TPKE
WOODBURY, NY 11797
Nassau County (516) 496-0900
OWEN MCCRUDDEN DPM, PC
Podiatrist (Foot & Ankle Surgery)
8029 JERICHO TPKE
WOODBURY, NY 11797
Nassau County (516) 496-0900
D T PETERSON DPM PC
Podiatrist (Foot Surgery)
8029 JERICHO TPKE
WOODBURY, NY 11797
Nassau County (516) 496-0900
DR. DONALD THORGEIR PETERSON DPM
Podiatrist (Foot Surgery)
8029 JERICHO TPKE
WOODBURY, NY 11797
Nassau County (516) 496-0900

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 D T Peterson Dpm PC's NPI number?

The NPI number for D T Peterson Dpm PC is 1376845669. It was assigned to this organization in the NPPES registry on November 19, 2010.

Where is D T Peterson Dpm PC located?

D T Peterson Dpm PC is located at 8029 Jericho Tpke, Woodbury, NY 11797. The listed phone number is (516) 496-0900.

What is D T Peterson Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for D T Peterson Dpm PC was last updated on November 29, 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.