Individual provider Active NPI

Dorothy Jessica Perez, APRN

  • Family Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1265023071
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9514 Issued in CT
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

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001159 CT Practitioner - Nurse Practitioner 6103299250 Reassigns benefits to 3 organizations

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
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

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

LicenseStateTypeSpecialty
086972CTMDRegistered Nurse
9514CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Nov 23, 2022 Accepting new patients
Community Health Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Community Health Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.