Fahad Pervez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

302362 Issued in NY

Practice address

256 E Route 59
Nanuet, NY 10954-2905

Phone

(845) 624-2273

NPI assigned

Jun 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Willows at Ramapo Rehab and Nursing Center Nursing home, Suffern, NY, CCN 335148

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Progressive Care Medical Group, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1295263796
  Medicare reassignment Care Compare group NPD
• Ramapo Manor Nursing Center Inc

  • Skilled Nursing Facility
  • Airmont, NY
  • NPI 1033220199
  NPD (past)
• Medexpress, Inc - Delaware

  dba MedExpress - Wilmington Concord Pike

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  NPD (past)

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

• Ramapo Manor Nursing Center Inc

  • Skilled Nursing Facility
  • Airmont, NY
  • NPI 1033220199

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1144635350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CENTRAL HWY",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562313",
            "telephone_number": "347-782-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "845-624-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tuskegee Blvd Bldg 300",
            "address_purpose": "LOCATION",
            "city": "Dover AFB",
            "state": "DE",
            "postal_code": "199025003",
            "country_code": "US",
            "telephone_number": "302-730-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERVEZ",
        "first_name": "FAHAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101258780",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "302362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Perez
• Teresa Perez, MASSAGE THEREAPIST
• Wonda Ann Perez
• Yvania O Perez, RN
• Lawrence Sanjay Persaud, RN
• Peter Y Chang MD Facg LLC
• PH Retina Ophthalmology Care, PLLC
• Phelps Faculty Medical Affiliates University Faculty Practice Corpor
• Linda Philibert, MASSAGE THERAPIST
• Wendy Pierre Jean

• Family Medicine Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
• 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.