Individual provider Active NPI

Federico Augusto Perez, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1235128513
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047127-1 Issued in NY
Practice address
336 Fort Washington Ave
Suite 1-B
New York, NY 10033-6803
Phone
(212) 781-9535
Fax
(212) 781-8600
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 047127-1 NY Primary

Addresses

Primary practice location

336 Fort Washington Ave
Suite 1-B
New York, NY 10033-6803

Mailing address

336 Fort Washington Ave
Suite 1-B
New York, NY 10033-6803
Phone (212) 781-9535

Other identifiers 2

IdentifierTypeStateIssuer
015985OtherNYDORAL DENTAL SERVICES
01759200MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721001114 TX Order and Referring Only - DentistPractitioner - Dentist 8729371257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047127-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Dental Acuaro, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235128513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE",
            "address_2": "SUITE 1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336803",
            "telephone_number": "212-781-9535",
            "fax_number": "212-781-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE",
            "address_2": "SUITE 1-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336803",
            "telephone_number": "212-781-9535",
            "fax_number": "212-781-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FEDERICO",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047127-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL SERVICES",
            "identifier": "015985",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.