PETERSON MEDICAL SUPPLY COMPANY (NPI# 1003183658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003183658 |
| Entity Type | Organization |
| Organization Name | PETERSON MEDICAL SUPPLY COMPANY |
| Practice Address |
400 Pantigo Rd East Hampton NY 11937-2699 |
| Mailing Address |
Po Box 2835 Amagansett NY 11930-2835 |
| Practice Telephone | 6313243200 |
| Practice Fax Number | 6313243676 |
| Mailing Telephone | 6313243200 |
| Mailing Fax Number | 6313243676 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MR. ERIK BAEKELAND PETERSON (PRESIDENT) |
| Authorized Official Telephone | 6313243200 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
400 PANTIGO RD |
| City | EAST HAMPTON |
| State | NY |
| Zip Code | 11937-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427334200 | Katheryn E Gorski | Physical Therapist | 400 Pantigo Rd, East Hampton, NY 11937-2699 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568933588 | Janis Susan Dimonaco | Social Worker | 32 Hamden St, Springfield, MA 11937 | 2018-12-17 |
| 1922542851 | William Collins | Physical Therapist | 158 Cedar Street, East Hampton, NY 11937 | 2016-12-12 |
| 1194108977 | Jennifer Lynn Favre | Pediatrics | 200 Pantigo Pl Ste E, East Hampton, NY 11937 | 2015-06-30 |
| 1336551654 | Sue B. Avedon | Psychologist | 174 Buckskill Rd., East Hampton, NY 11937 | 2014-05-21 |
| 1447694203 | Aldo Oscar Perotto | Physical Medicine & Rehabilitation | 1108 Springs Fireplace Rd., East Hampton, NY 11937 | 2013-04-24 |
| 1700150497 | Shlomo Piontkowski | Orthopaedic Surgery | 7 Amys Lane, East Hampton, NY 11937 | 2012-02-28 |
| 1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
| 1003186180 | Edward Wagman | Pathology | 39 Isle of Wight Road, East Hampton, NY 11937 | 2012-01-06 |
| 1891096012 | Raymond Medler | Internal Medicine | 76 Meadow Way, East Hampton, NY 11937 | 2010-11-04 |
| 1356534002 | Edyle Obrien | Social Worker | 16 Diane Drive, East Hampton, NY 11937 | 2007-08-24 |
| Find all providers in zip 11937 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238503 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 25 E High St Ste 8, East Hampton, CT 06424-1087 | 2017-07-18 |
| 1841724853 | Cvs Albany, L.L.C. | Durable Medical Equipment & Medical Supplies | 71 Montauk Hwy, East Hampton, NY 11937-3245 | 2017-04-17 |
| 1871897173 | East End Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 10 Pantigo Rd, East Hampton, NY 11937-2639 | 2010-12-29 |
| 1891967410 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 54 East High Street, East Hampton, CT 06424 | 2008-03-25 |
| 1811026917 | Jennifer Day | Durable Medical Equipment & Medical Supplies | 4 Old Marlborough Rd, East Hampton, CT 06424-1538 | 2007-03-05 |
| 1154419240 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 11 E High St, East Hampton, CT 06424-1022 | 2006-10-11 |
| 1164521431 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 25 East High Street, East Hampton, CT 06424-1001 | 2006-09-22 |
| 1366765349 | The Stop & Shop Supermarket Company LLC | Durable Medical Equipment & Medical Supplies | 11 E High St, East Hampton, CT 06424-1022 | 2010-03-05 |
| 1891963740 | Jennifer Day | Durable Medical Equipment & Medical Supplies | 4 Old Marlborough Rd, East Hampton, CT 06424-1538 | 2008-02-13 |
| 1952495368 | Calvo Drug Inc | Durable Medical Equipment & Medical Supplies | 106 N Main St, East Hampton, NY 11937-2640 | 2006-10-03 |
| Find all providers in EAST HAMPTON | ||||
| City | EAST HAMPTON |
| Zip Code | 11937 |
Please comment or provide details below to improve the information on PETERSON MEDICAL SUPPLY COMPANY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.