Active NPI
Sania Perez, M.D.
- Pediatrics Physician
- Waldwick, NJ
National Provider Identifier
1174584890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA08351700
- Practice address
- 171 Franklin TPK
Waldwick, NJ 07463 - Phone
- (201) 612-5100
- Fax
- (201) 612-4499
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA08351700 | NJ | Primary |
| Pediatrics Physician | 208000000X | 221788 | NY |
Addresses
Primary practice location
171 Franklin TPK
Waldwick, NJ 07463
Mailing address
171 Franklin TPK
Waldwick, NJ 07450
Phone (201) 612-1500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA08351700 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients | |
| Valley Medical Services, Inc. | Pediatrics | Past | Accepting new patients |
| Pediatricare Associates | Pediatrics | Past | Accepting new patients |
| Mount Sinai Diagnostic and Treatment Center | Past | Accepting new patients |
Locations
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
171 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 447-8990
Interoperability endpoints
- sania.perez@pediatricareassociates.chartmakerdirect.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Pediatrics Physician
- Fair Lawn, NJ
- NPI 1699700526
-
- Clinic/Center
- New York, NY
- NPI 1669476156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1174584890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 FRANKLIN TPK",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-612-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 FRANKLIN TPK",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "07463",
"telephone_number": "201-612-5100",
"fax_number": "201-612-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SANIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA08351700",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "221788",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.