Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anjelica Peacock, MD

Individual provider Dermatology Physician · NPI 1831651710

Dr. Anjelica Peacock, MD is a Dermatology in New York, New York. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
NY, OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

214 Sullivan St
New York, NY 10012-1354
Phone: (212) 385-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 330446 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 35.142051 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831651710
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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