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ALYSSA PETERKIN MD NPI 1225488133


NPI Information

NPI: 1225488133
Provider Name: ALYSSA PETERKIN, MD
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: EVANS MEDICAL FOUNDATION INC

PECOS Registration: Yes

Address:
801 MASSACHUSETTS AVE
CROSSTOWN 2
BOSTON, MA
ZIP 02118
Phone: (617) 414-7399
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Alyssa Peterkin, MD is an addiction medicine preventive medicine in Boston, MA with 8 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. Alyssa Peterkin, MD NPI is 1225488133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2016

The provider's business location address is:

801 MASSACHUSETTS AVE
CROSSTOWN 2
BOSTON, MA
ZIP 02118
Phone: (617) 414-7399

The NPI 1225488133 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 6/21/2016 and was last updated on 1/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine267763MASSACHUSETTSNo
22083A0300XPreventive MedicineAddiction Medicine278152MASSACHUSETTSYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.