Active NPI
Steven L Perrick, MD
- Pediatrics Physician
- Westbury, NY
National Provider Identifier
1083622088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- NY152412
- Practice address
- 530 Old Country Road
Ste 1B
Westbury, NY 11590 - Phone
- (516) 333-7272
- Fax
- (516) 333-2519
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NY152412 | NY | Primary |
Addresses
Primary practice location
530 Old Country Road
Ste 1B
Westbury, NY 11590
Mailing address
530 Old Country Road
Ste 1B
Westbury, NY 11590
Phone (516) 333-7272
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010152412 | Other | NY | ANTHEM |
| 1000015358 | Other | AFFINITY | |
| 9786625002 | Other | CIGNA | |
| 0780SP | Other | PRIS | |
| 30128460 | Other | FIDELIS | |
| 3C6478 | Other | HEALTHNET | |
| 93594 | Other | VYTRA | |
| P1280410 | Other | OXFORD | |
| 152412A27 | Other | HEALTHFIRST | |
| 771484 | Other | HERITAGE ADVANTAGE | |
| 000000055633 | Other | GHI | |
| 176215315530830 | Other | FIRST HEALTH | |
| 2154018 | Other | USH | |
| 393479 | Other | UH | |
| 7895093 | Other | HIP | |
| AA50765 | Other | NDNY | |
| 91A751 | Other | BCBS | |
| 3627 | Other | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY152412 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Nassau Medical Care for Kidz, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Westbury, NY
- NPI 1710356043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083622088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 OLD COUNTRY ROAD",
"address_2": "STE 1B",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-333-7272",
"fax_number": "516-333-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 OLD COUNTRY ROAD",
"address_2": "STE 1B",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-333-7272",
"fax_number": "516-333-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRICK",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "NY152412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010152412",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000015358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9786625002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIS",
"identifier": "0780SP",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "30128460",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C6478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "93594",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1280410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "152412A27",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE ADVANTAGE",
"identifier": "771484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "000000055633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "176215315530830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USH",
"identifier": "2154018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UH",
"identifier": "393479",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "7895093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDNY",
"identifier": "AA50765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "91A751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "3627",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.