Michael J Petersen (NPI# 1902899057, PAC ID# 7810924974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1902899057 |
| PAC ID by PECOS | 7810924974 |
| Professional Enrollment ID | I20050720000455 |
| Full Name | Michael J Petersen |
| Organization Legal Name | HARBOR VIEW MEDICAL SERVICES PC |
| Address |
4 Technology Dr Suite 120 East Setauket NY 11733-4068 |
| Phone Number | 6312468289 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 5092865873 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 4 Technology Dr, Suite 120, East Setauket, NY 11733-4068 | 6312468289 | HARBOR VIEW MEDICAL SERVICES PC |
| 75 N Country Rd, Port Jefferson, NY 11777-2119 | 6314731320 | HARBOR VIEW MEDICAL SERVICES PC |
| 75 N Country Rd, Suite 201, Port Jefferson, NY 11777-2119 | 6314731320 | HARBOR VIEW MEDICAL SERVICES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | HARBOR VIEW MEDICAL SERVICES PC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Kvilekval | Vascular Surgery | Harbor View Medical Services PC | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4068 |
| Rohan G Perera | Cardiovascular Disease (cardiology) | Harbor View Medical Services PC | 210 N Belle Mead Ave, East Setauket, NY 11733-3522 |
| Francis R Sicari | Physician Assistant | Harbor View Medical Services PC | 75 N Country Rd, Port Jefferson, NY 11777-2119 |
| Seemab Nazar Malik | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Charles G Bleecher | Internal Medicine | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Deborah A Kacherski | Nurse Practitioner | Harbor View Medical Services PC | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 |
| Jessica L Blydenburgh | Family Medicine | Harbor View Medical Services PC | 70 N Country Rd, Port Jefferson, NY 11777-2161 |
| Robert C Giacobbe | Internal Medicine | Harbor View Medical Services PC | 75 N Country Rd, Port Jefferson, NY 11777-2119 |
| Deborah D Adkins | Nurse Practitioner | Harbor View Medical Services PC | 70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161 |
| Anita N Biswas | Nurse Practitioner | Harbor View Medical Services PC | 745 Route 25a, Suite A, Rocky Point, NY 11778-6603 |
| Street Address |
4 TECHNOLOGY DR SUITE 120 |
| City | EAST SETAUKET |
| State | NY |
| Zip | 11733-4068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Kvilekval | Vascular Surgery | Harbor View Medical Services PC | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4068 |
| Peter J Morelli | Cardiovascular Disease (cardiology) | Stony Brook Children's Service, University Faculty Practice Corporatio | 4 Technology Dr, East Setauket, NY 11733-4080 |
| Gerard J Furst | Podiatry | Gerard J Furst Dpm Pllc | 4 Technology Dr, Suite 110, East Setauket, NY 11733-4047 |
| Karim A Paracha | General Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4085 | |
| Ting-kin J Leung | General Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4085 | |
| Zeenat A Hussain | Internal Medicine | 4 Technology Dr, Suite 130, East Setauket, NY 11733-4047 | |
| Lesley Small-harary | Pediatric Medicine | Stony Brook Children's Service, University Faculty Practice Corporatio | 4 Technology Dr, East Setauket, NY 11733-4080 |
| James L Groff | General Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4085 | |
| Eileen M Barr | Internal Medicine | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4085 | |
| Ashwinee P Ragam | Ophthalmology | Ophthalmic Consultants of Long Island | 4 Technology Dr, Suite 150, East Setauket, NY 11733-4085 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernice Kornfield Premisler | Clinical Social Worker | 764 Route 25a 8, East Setauket, NY 11733-1231 | |
| Suzanne J Ennis | Clinical Social Worker | 5 Blueberry Ridge Rd, Setauket, NY 11733-1503 | |
| Susan G Simms | Clinical Social Worker | 16 Storybook Ln, East Setauket, NY 11733-1727 | |
| Kathleen Rogers | Clinical Social Worker | 3 Fox Hollow Rd, East Setauket, NY 11733-1811 | |
| Natalie L Shapiro | Clinical Social Worker | 14 Thornwood Way, East Setauket, NY 11733-1825 | |
| Charles Levine | Chiropractic | 151 Gnarled Hollow Rd, East Setauket, NY 11733-1955 | |
| James E Townsend | Psychiatry | 100 S Jersey Ave, Suite 1, East Setauket, NY 11733-2035 | |
| Nancy M Rosenberg | Clinical Social Worker | 100 S Jersey Ave, Unit 1, East Setauket, NY 11733-2035 | |
| John A Ippolito | Rheumatology | 100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036 | |
| Christopher Ng | Family Medicine | 100 S Jersey Ave, Suite 14, Setauket, NY 11733-2036 | |
| Find all physicians in zip 11733 | |||
| City | EAST SETAUKET |
| Zip Code | 11733 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | EAST SETAUKET + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Michael J Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.