PETER STEVEN MIDULLA MD NPI 1104892488

NPI Information

  • NPI: 1104892488
  • Provider Name: PETER STEVEN MIDULLA, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5 E 98TH ST
    14TH FL
    NEW YORK, NY
    ZIP 10029
  • Phone: (212) 241-1656

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NPI Details

Peter Steven Midulla, MD is a pediatric surgery surgery in New York, NY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Peter Steven Midulla, MD NPI is 1104892488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5 E 98TH ST
14TH FL
NEW YORK, NY
ZIP 10029-574
Phone: (212) 241-1656
Fax: (212) 534-2654

The NPI 1104892488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 2/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric Surgery188585NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G91862MEDICARE UPIN
281L213MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
301936185MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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