NPIMap

Individual provider Active NPI

Joseph Michael Perucci Jr., PA

  • Physician Assistant
  • Nyack, NY
National Provider Identifier
1063171205
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027464 Issued in NY
Practice address
160 N Midland Ave
Nyack, NY 10960-1912
Phone
(845) 348-2000
NPI assigned
Dec 15, 2021
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027464 NY Primary

Addresses

Primary practice location

160 N Midland Ave
Nyack, NY 10960-1912

Mailing address

50 Leonard St Unit 204
Beacon, NY 12508-3456
Phone (845) 742-4198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220207001911 NY Practitioner - Physician Assistant 8325431794 Reassigns benefits to 2 organizations
I20220622001870 CT Practitioner - Physician Assistant 8325431794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Physician Assistant CurrentSince Apr 6, 2022 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Apr 6, 2022 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

Interoperability endpoints

  • Direct secure messaging: joseph.perucci.1@20311.direct.athenahealth.com
  • Direct secure messaging: jperucci@somers1172.srs-direct.com
  • Direct secure messaging: jperucci69985@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1063171205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEONARD ST UNIT 204",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083456",
            "telephone_number": "845-742-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUCCI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.