SCOTT PETERS (NPI# 1134512171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134512171 |
| Entity Type | Individual |
| Full Name | SCOTT PETERS |
| Credential | DDS |
| Practice Address |
630 W 168th St New York NY 10032 |
| Mailing Address |
3182 Wynsum Ave Merrick NY 11566-5546 |
| Practice Telephone | 5162973444 |
| Mailing Telephone | 5162973444 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
059765 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252389 | Scott Peters | Social Worker | 725 Anacapri St, Las Vegas, NV 89138-6000 | 2018-04-17 |
| 1912319922 | Scott Peters | Specialist/Technologist | 1608 4th St Sw, Minot, ND 58701-6206 | 2014-05-24 |
| 1558305698 | Scott W Peters | Counselor | 142 Funston Pl, San Antonio, TX 78209-6519 | 2006-06-16 |
| 1851334775 | Scott B. Peters | Dentist | 1570 Adams St, Mankato, MN 56001-5192 | 2006-06-14 |
| 1285637199 | Scott C Peters | Dentist | 55 Main St, Goshen, NY 10924-2100 | 2005-05-24 |
| 1205468642 | Scott Peters | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-02-04 |
| 1184768335 | Scott Peters | Physical Therapist | 1931 Burlington St, N Kansas City, MO 64116-3407 | 2007-02-19 |
| 1134218811 | Scott W Peters | Obstetrics & Gynecology | 988 Oak Ridge Tpke, Suite 140, Oak Ridge, TN 37830-6930 | 2006-10-12 |
| 1902824279 | Scott S Peters | Dentist | 3796 N Fresno St, 106, Fresno, CA 93726-5500 | 2006-07-17 |
| 1427002757 | Scott G Peters | Podiatrist | 730 Som Center Rd, Suite 350, Mayfield Village, OH 44143-2350 | 2006-05-20 |
| Street Address |
630 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1528669793 | Chrissa Pantazis | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-11-04 |
| 1942801410 | Rozalina Abramov | Pharmacist | 630 W 168th St, New York, NY 10032-3725 | 2020-11-02 |
| 1235742438 | Lindsey Root Kus | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1144833344 | William Tyler Marshall | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1619589868 | Swen D Paguia | Student in an Organized Health Care Education/Training Program | 630 W 168th St, New York, NY 10032-3725 | 2020-08-19 |
| 1821600214 | Kirsten Michele Gutlay | Nurse Practitioner | 630 W 168th St, New York, NY 10032-3725 | 2020-08-18 |
| 1356950323 | Emily Russo | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-27 |
| 1780202853 | Cassandra Caroline Johnson | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-06 |
| 1831715572 | Nicole Marie Monnecka | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124436134 | King Chong Chan | Dentist | 345 E 24th St Rm 837s, New York, NY 10010-4020 | 2014-07-23 |
| 1073647772 | Pasquale J Malpeso | Dentist | 563 Park Ave, New York, NY 10021-7314 | 2007-03-15 |
| 1447399340 | Robert Maimone | Dentist | 205 E 16th St Apt Ll, New York, NY 10003-3790 | 2007-02-06 |
| 1811082506 | David M. Blank | Dentist | 120 East 34th Street, Lobby, New York, NY 10016 | 2006-10-04 |
| 1275556425 | Mario Tuchman | Dentist | 353 Lexington Ave, Suite #700, New York, NY 10016-0941 | 2006-07-26 |
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1487067948 | Brandon Michael Veremis | Dentist | 1 Gustave L Levy Pl, Annenberg 15-26, New York, NY 10029-6574 | 2014-06-03 |
| 1295094670 | Aaron Edward Yancoskie | Dentist | 200 W 57th St, Suite 810, New York, NY 10019-3211 | 2012-05-07 |
| 1306088505 | David J. Zegarelli D.d.s. Pllc | Dentist | 200 Central Park S, Suite 105, New York, NY 10019-1436 | 2009-04-02 |
| 1992972004 | Spine Sports Occupational Rehabilitation Associates, LLC | Dentist | 317 E 34th St, 5th Floor, New York, NY 10016-4974 | 2008-05-08 |
| Find all providers in NEW YORK | ||||
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| 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.