Individual provider Active NPI

Maria A Perri, D.C.,D.A.C.R.B.

  • Chiropractor
  • Highland Mills, NY
National Provider Identifier
1184603375
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X4177 004177 Issued in NY
Practice address
489 Route 32
Highland Mills, NY 10930-3305
Phone
(845) 928-2225
Fax
(845) 928-1080
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X4177 004177 NY Primary

Addresses

Primary practice location

489 Route 32
Highland Mills, NY 10930-3305

Mailing address

489 Route 32
P.O. Box 1012
Highland Mills, NY 10930-3305
Phone (845) 928-2225

Other identifiers 7

IdentifierTypeStateIssuer
10057598OtherNYCDPHP
4603559OtherNYAETNA/US HEALTHCARE
PM965538OtherGHI
P680302OtherNYOXFORD
603488OtherNMACN
C-04177-4OtherNYWORKER'S COMP
P-61323206OtherNYMULTIPLAN

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

State licenses

LicenseStateTypeSpecialty
X4177 004177NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184603375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 ROUTE 32",
            "address_2": "P.O. BOX 1012",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303305",
            "telephone_number": "845-928-2225",
            "fax_number": "845-928-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303305",
            "telephone_number": "845-928-2225",
            "fax_number": "845-928-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRI",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.,D.A.C.R.B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4177 004177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10057598",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "4603559",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "PM965538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P680302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "603488",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "C-04177-4",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P-61323206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.