Paul Isaac Pelavin, MS, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

25MA08418900 Issued in NJ

Practice address

140 E Ridgewood Ave Ste 480N
Paramus, NJ 07652-3917

Phone

(201) 447-8182

Fax

(201) 523-9635

NPI assigned

Apr 13, 2007

Last updated

Feb 10, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.pelavin.2@5622.direct.athenahealth.com

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.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1114141678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E RIDGEWOOD AVE STE 480N",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523917",
            "telephone_number": "201-447-8182",
            "fax_number": "201-523-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RIDGEWOOD AVE STE 480N",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523917",
            "telephone_number": "201-447-8182",
            "fax_number": "201-523-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAVIN",
        "first_name": "PAUL",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA08418900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc (Pearle Vision #C6411)
• Meghan Pecci
• Renee Catherine Pedersen, APRN
• Pediatric Orthopedic Specialties, PA
• Pediatric Surgical Associates,P.a.
• Marcia Penha
• John L Penny, MD.
• Danielle Pera, LPC
• Alexa Marie Perez
• Daniel E Perez, RNFA

• Pediatric Endocrinology Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Pediatric Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.