Active NPI
Dorothy Jessica Perez, APRN
- Family Nurse Practitioner
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9514
- Practice address
- 85 Lafayette St
New Britain, CT 06051-1803 - Phone
- (860) 224-3642
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9514 | CT | Primary |
| Registered Nurse | 163W00000X | 086972 | CT |
Addresses
Primary practice location
85 Lafayette St
New Britain, CT 06051-1803
Mailing address
67 Hickory St
Bristol, CT 06010-4348
Phone (860) 270-9034
Other practice location 1
41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 270-9034
Other practice location 2
832 Queen St
Southington, CT 06489-1544
Phone (860) 863-5288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Farmington Ave
Bristol, CT 06010-4703
Phone (860) 516-5931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086972 | CT | MD | Registered Nurse |
| 9514 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity, Inc. | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients | |
| Hartford Healthcare Urgent Care Centers, LLC | Current | Accepting new patients | |
| Intercommunity, Inc. | Current | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
1215 Farmington Ave
Bristol, CT 06010
Phone (860) 516-5931
281 Main St
East Hartford, CT 06118
Phone (860) 291-1335
16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701
800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451
85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Primary Care Clinic/Center
- East Hartford, CT
- NPI 1073548533
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1962896548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1265023071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 HICKORY ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104348",
"telephone_number": "860-270-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 LAFAYETTE ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060511803",
"telephone_number": "860-224-3642"
}
],
"practiceLocations": [
{
"address_1": "41 Brewster Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "CT",
"postal_code": "060105161",
"country_code": "US",
"telephone_number": "860-270-9034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "832 Queen St",
"address_purpose": "LOCATION",
"city": "Southington",
"state": "CT",
"postal_code": "064891544",
"country_code": "US",
"telephone_number": "860-863-5288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "DOROTHY",
"middle_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "9514",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "086972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.