Salvador O Perez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241980 Issued in NY

Practice address

10005 Roosevelt Ave Ste 201
Corona, NY 11368-4880

Phone

(347) 201-4567

Fax

(718) 779-1470

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBHIBA/Endpoint/EBHIBA

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.

• Salvador Perez Medical P.C.

  • Primary Care Clinic/Center
  • Corona, NY
  • NPI 1326312802
  Medicare reassignment NPD Authorized official
• Centro Medico Perez PC

  • Family Medicine Physician
  • Corona, NY
  • NPI 1174013551

  Internal Medicine

  NPD Authorized official
• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1104024314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 42ND AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682451",
            "telephone_number": "347-201-4567",
            "fax_number": "718-779-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE STE 201",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "347-201-4567",
            "fax_number": "718-779-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SALVADOR",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02872273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Penny, PSY.D.
• Juan Alberto Peralta, D.D.S.
• Maribel Perez-Santos, LMSW
• Joebelle Fiel Perez, LPN
• Priscyla Yarely Perez, LPN
• Destiny Perkins
• Juan Jose Pesantes, D.D.S.
• Physioterra PT PC
• Picasso Dental Office PC
• Marisel Pichardo

• Internal Medicine Physician in Corona, NY
• Providers in Corona, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.