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DR. ANJELICA PEACOCK MD
NPI 1831651710
Dermatology in New York, NY

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
214 SULLIVAN ST, NEW YORK, NY 10012(212) 385-3700 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Mar 8, 2022, May 10, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Anjelica Peacock Md NPPES

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

DR. ANJELICA PEACOCK MD (NPI 1831651710) is an individual dermatology provider in New York, New York, licensed in New York (330446) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1831651710
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANJELICA PEACOCKCredential: MD
Location Address214 SULLIVAN STNew York, NY 10012-1354
Mailing Address214 Sullivan StNew York, NY 10012-1354 · (212) 385-3700
Phone(212) 385-3700
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1831651710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 330446
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.142051 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
214 SULLIVAN ST, New York, NY 10012
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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anjelica Peacock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638400047
PECOS Enrollment IDI20260417001228
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

MOHYI SYED PA-C
Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700
ANNABEL KIM PA-C
Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700
DR. HENRY HEATON M.D.
Dermatology (MOHS-Micrographic Surgery)
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700
RAMATHIA MICHELE DEFREESE PA-C
Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700
SOPHIA MIZRAHI
Physician Assistant (Medical)
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700
MOLLY ELIZABETH CUNNING
Physician Assistant
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (781) 534-3738
REMEDE NATUROPATHICS
Acupuncturist
214 SULLIVAN ST, 3B
NEW YORK, NY 10012
New York County (646) 485-5229
MRS. CAROLINA CABRERA
Physician Assistant
214 SULLIVAN ST
NEW YORK, NY 10012
New York County (212) 385-3700

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 Anjelica Peacock's NPI number?

The NPI number for Anjelica Peacock is 1831651710. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Anjelica Peacock located?

Anjelica Peacock practices at 214 Sullivan St, New York, NY 10012. The listed phone number is (212) 385-3700.

What is Anjelica Peacock's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anjelica Peacock enrolled in Medicare?

Yes. Anjelica Peacock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anjelica Peacock was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.