Individual provider Active NPI

Dinabel Peralta-Reich, M.D

  • Pediatrics Physician
  • Valhalla, NY
National Provider Identifier
1174776827
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60250845 Issued in NY
Practice address
New York Medical College, Dept of Pediatrics
Munger Pavilion
Valhalla, NY 10595
Phone
(914) 594-3916
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60250845 NY Primary

Addresses

Primary practice location

New York Medical College, Dept of Pediatrics
Munger Pavilion
Valhalla, NY 10595

Mailing address

507 E 80TH St Apt 6R
New York, NY 10075-0776
Phone (917) 463-4200

Other identifiers 1

IdentifierTypeStateIssuer
60250845OtherNYNEW YORK STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60250845NYMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: dperaltareich67844@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1174776827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 80TH ST APT 6R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750776",
            "telephone_number": "917-463-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK MEDICAL COLLEGE, DEPT OF PEDIATRICS",
            "address_2": "MUNGER PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-594-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA-REICH",
        "first_name": "DINABEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "60250845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "60250845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.