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DR. PETER JAMES PETRULIS D.O.
NPI 1669464624
Family Medicine in Stone Ridge, NY

Active since August 16, 2005
10 GAGNON DR, STONE RIDGE, NY 12484(845) 687-9933 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter James Petrulis D.o. NPPES

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

DR. PETER JAMES PETRULIS D.O. (NPI 1669464624) is an individual family medicine provider in Stone Ridge, New York, licensed in New York (160527) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1669464624
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER JAMES PETRULISCredential: D.O.
Location Address10 GAGNON DRStone Ridge, NY 12484-5120
Mailing AddressPo Box 547Stone Ridge, NY 12484-0547 · (845) 687-9933
Phone(845) 687-9933
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1669464624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 160527
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 GAGNON DR, Stone Ridge, NY 12484
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Other Identifiers 4

Medicare PIN70D761NY
Medicaid00950523NY
Medicare UPINA63887NY
Other087250NY · Mvp

Other Providers at the Same Location NPPES 5

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

MR. ROBERT J TAYLOR MD
Family Medicine
10 GAGNON DR
STONE RIDGE, NY 12484
Ulster County (845) 687-7455
DONALDSON & CHIERA, RN, FAMILY HEALTH NP, P.C.
Clinic/Center (Urgent Care)
10 GAGNON DR
STONE RIDGE, NY 12484
Ulster County (845) 389-1986
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Family Medicine
10 GAGNON DR
STONE RIDGE, NY 12484
Ulster County (548) 687-7455
ELIZABETH M GREGORY MD
Family Medicine
10 GAGNON DR
STONE RIDGE, NY 12484
Ulster County (845) 687-7455
RONDOUT VALLEY FAMILY MED PC
Family Medicine
10 GAGNON DR
STONE RIDGE, NY 12484
Ulster County (845) 687-9933

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 Petrulis's NPI number?

The NPI number for Peter Petrulis is 1669464624. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Peter Petrulis located?

Peter Petrulis practices at 10 Gagnon Dr, Stone Ridge, NY 12484. The listed phone number is (845) 687-9933.

What is Peter Petrulis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peter Petrulis was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.