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

Dr. Daniel P Peterson, MD

Individual provider Diagnostic Radiology Physician · NPI 1407833973

Dr. Daniel P Peterson, MD is a Diagnostic Radiology in Staten Island, New York. Qualified in 1988, 38 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2005
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

360 Bard Ave
Staten Island, NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 192643 (NY)

Record details

NPI number1407833973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address360 Bard Ave, Staten Island, NY 10310-1666

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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