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

Michael James Petersen, MD

Individual provider Specialist · NPI 1902899057

Michael James Petersen, MD is a Vascular Surgery in East Setauket, New York. Graduated from Baylor College of Medicine in 1986, 40 years ago. Practices with Harbor View Medical Services PC, a 58-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
Baylor College of Medicine
Licensed in
NY
In the registry since
2005
Specialties on file
2
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

4 Technology Dr Ste 120
East Setauket, NY 11733-4068
Phone: (631) 246-8289
Fax: (631) 246-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 175936 (NY)
Specialist Taxonomy 174400000X · Licence 175936 (NY)

Record details

NPI number1902899057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 24, 2005
Last updated in NPPESJune 6, 2016

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Harbor View Medical Services Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Setauket