Individual provider Active NPI

Julie Perlanski, MD

  • Family Medicine Physician
  • Old Forge, NY
National Provider Identifier
1154311470
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203516-1 Issued in NY
Practice address
114 S Shore Rd
Old Forge, NY 13420-7786
Phone
(315) 369-6619
Fax
(315) 369-6533
NPI assigned
Oct 27, 2005
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203516-1 NY Primary

Addresses

Primary practice location

114 S Shore Rd
Old Forge, NY 13420-7786

Mailing address

2209 Genesee St
Business Office Room 315
Utica, NY 13501
Phone (315) 801-3282

Other identifiers 2

IdentifierTypeStateIssuer
P00449070OtherNYRRMCR
01728514MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041117000609 NY Practitioner - General Practice 1355305558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

500 E Main St
Little Falls, NY 13365-1444
Phone (315) 823-1113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203516-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 28, 2023 Accepting new patients
MVHS Inc Family Medicine CurrentSince Oct 28, 2023 Accepting new patients

Locations

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

140 Burwell St
#1
Little Falls, NY 13365
Phone (315) 823-1113

500 E Main St
Little Falls, NY 13365
Phone (315) 823-1111

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

Interoperability endpoints

  • Direct secure messaging: jperlanski11983@mvhealthsystem.direct-ci.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1154311470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S SHORE RD",
            "city": "OLD FORGE",
            "state": "NY",
            "postal_code": "134207786",
            "telephone_number": "315-369-6619",
            "fax_number": "315-369-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLANSKI",
        "first_name": "JULIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203516-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00449070",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, NY

Sources for this page

Verify at the official NPI Registry.