Individual provider Active NPI

Sania Perez, M.D.

  • Pediatrics Physician
  • Waldwick, NJ
National Provider Identifier
1174584890
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA08351700 Issued in NJ
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

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000047 NJ Practitioner - Pediatric Medicine 1052308269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08351700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.