Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Douglas Matthew Petraco, MD

Orthopaedic Surgery Physician in East Setauket, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922021476

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Registry record

Entity type Individual (Type 1)

Name Dr. Douglas Matthew Petraco

Credential MD

Sex Male

Practice address 6 Technology Dr Ste 100, East Setauket, NY, 11733

Phone (631) 689-6698

Fax (631) 751-5548

Enumeration date Jul 25, 2006

Last updated in NPPES Mar 18, 2019

Taxonomy & licenses

207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 195619 (NY) Secondary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 195619 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
02011645	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Douglas Petraco?

Douglas Petraco is registered in NPPES with the primary taxonomy of Orthopaedic Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-18.