Lauris J. Petersen MD PC
NPI 1659563989 · Family Medicine Physician · Glenville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lauris J. Petersen MD PC is a Family Medicine Physician organization in Glenville, NY (NPI 1659563989).
Provider details
- NPI number
- 1659563989
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lauris Petersen, Ceo/President(518) 399-0909
- License
- 213320 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Glenridge Family Medicine
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2007-08-10
Frequently asked questions
- What is Lauris J. Petersen MD PC's NPI number?
- Lauris J. Petersen MD PC's National Provider Identifier (NPI) is 1659563989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lauris J. Petersen MD PC?
- Lauris J. Petersen MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lauris J. Petersen MD PC located?
- Lauris J. Petersen MD PC's practice location on file with NPPES is 15 Glenridge Rd, Glenville, NY 12302-4520.
- What is Lauris J. Petersen MD PC's phone number?
- The practice phone number listed in the NPPES registry for Lauris J. Petersen MD PC is (518) 399-0909.
- Does Lauris J. Petersen MD PC accept Medicare?
- Lauris J. Petersen MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lauris J. Petersen MD PC?
- The authorized official listed on Lauris J. Petersen MD PC's NPPES record is Lauris Petersen, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lauris J. Petersen MD PC's NPI active?
- Yes — Lauris J. Petersen MD PC's NPI (1659563989) is active in the NPPES registry as of the last update on 2007-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.