Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902061245 Individual Practitioner Male Practitioner

Peter R Picataggio , LMT

Specialist • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Peter Picataggio, LMT is a registered healthcare professional specializing in Specialist in Patchogue, NY. Practice services are available at 440 WAVERLY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

440 Waverly Ave
Suite 4

Patchogue, NY 117727600

Telephone 6314756602
Fax 6312893142
Associated Practice Facility / Clinic
🏢 Dme Medical Supplies Inc. Facility NPI 1528298999

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Patchogue, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 11506-1

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215850565

Licensed Mental Health Counselor

Stephanie Cooke

Counselor - Mental Health

NPI 1225854748

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2008

Registered at 440 WAVERLY AVE, SUITE 4, PATCHOGUE, NY 117727600 (Tel: 6314756602)

📍
Updated Business Mailing Address July 25, 2008

Registered at 440 WAVERLY AVE, SUITE 4, PATCHOGUE, NY 117727600

👤
Provider Name / Credentials Updated July 25, 2008

Recorded as PETER PICATAGGIO, L.M.T

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2008

Specialist (License #11506-1 in NY)

🟢
Initial NPI Registration & Enumeration July 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902061245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2008
Last Update: July 25, 2008
Sole Proprietor: No

Mailing Address

440 Waverly Ave, Suite 4

Patchogue, NY 117727600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.