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Deactivated NPI 1639127004 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Periconi , MD

Surgery • West Islip, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Periconi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2006
NPI Deactivation Date April 20, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Periconi, MD was a registered Surgery practicing in West Islip, NY. Throughout an active medical career spanning 16 years, Dr. Periconi provided care at the practice location at 500 MONTAUK HWY until profile deactivation on 2022-04-20.

Practice Location & Contact Primary Location

Practice Address

500 Montauk Hwy
Suite R

West Islip, NY 117954418

Telephone 6314222555
Fax 6314225988
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.7 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
17 Specialists

Practicing in West Islip, NY (2269 Statewide)

Telehealth Adoption Rate
11.8% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 106902

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Michaela Lomelo

Physician Assistant

NPI 1023786597
NPI 1245201136

Doctor of Medicine (M.D.)

Debra Civitano , FNP

Nurse Practitioner - Family

NPI 1295419240

Family Nurse Practitioner

Dr. Krishnaiyer Subramani , MD

Internal Medicine - Gastroenterology

NPI 1295794105

Doctor of Medicine (M.D.)

NPI 1306817119

Doctor of Medicine (M.D.)

Lauren Cardenas , PA

Physician Assistant

NPI 1417200460

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 20, 2022

Record deactivated on April 20, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 500 MONTAUK HWY, SUITE R, WEST ISLIP, NY 117954418 (Tel: 6314222555)

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Updated Business Mailing Address July 08, 2007

Registered at 500 MONTAUK HWY, SUITE R, WEST ISLIP, NY 117954418 (Tel: 6314222555)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER PERICONI, M. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #106902 in NY)

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Initial NPI Registration & Enumeration May 05, 2006

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: 1639127004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: July 08, 2007
Deactivation Date: April 20, 2022

Mailing Address

500 Montauk Hwy, Suite R

West Islip, NY 117954418

Phone: 6314222555

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.