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

Peter Connolly, MD

Individual provider Vascular Surgery Physician · NPI 1104066356

Peter Connolly, MD is a General Surgery in New York, New York. Graduated from University of California, Irvine, California College of Medicine in 2004, 22 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Trained at
University of California, Irvine, California College of Medicine
Licensed in
NY
In the registry since
2009
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

525 E 68th St PAYSON-7
New York, NY 10065-4870
Phone: (212) 746-0421
Fax: (212) 746-5812
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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 243565 (NY)

Record details

NPI number1104066356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 1, 2009
Last updated in NPPESDecember 19, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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