PETER J. PETRULIS D.O. – NPI #1669464624
Family Medicine

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.

PETER PETRULIS is a physician located in STONE RIDGE, NY. NPPES has assigned the NPI number 1669464624 to PETER PETRULIS on August 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Feb 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER PETRULIS below.

NPI Profile for
PETER J. PETRULIS

NPI Number
1669464624
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER J. PETRULIS
Credentials
D.O.
Primary location
10 GAGNON DR
STONE RIDGE, NY 12484-5120
Phone: (845) 687-9933 Fax:
Mailing address
PO BOX 547
STONE RIDGE, NY 12484-0547
Phone: (845) 687-9933 Fax:
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for PETER PETRULIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMVPNY087250
MEDICAIDNY00950523
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 160527

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.