Active NPI
Jennifer Peros, FNP
- Family Nurse Practitioner
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351119-01
- Practice address
- 1087 Route 58 # 1034
Riverhead, NY 11901-2141 - Phone
- (631) 741-4094
- NPI assigned
- Jan 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F351119-01 | NY | Primary |
Addresses
Primary practice location
1087 Route 58 # 1034
Riverhead, NY 11901-2141
Mailing address
1087 Route 58 # 1034
Riverhead, NY 11901-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Beaver Dam Rd
Brookhaven, NY 11719-9719
Phone (516) 589-4496
14 Westport Ave
Norwalk, CT 06851-3915
Phone (516) 543-6249
20 E Sunrise Hwy
FL 2
Valley Stream, NY 11581-1260
Phone (516) 543-6249
275 Bayview Ave
Massapequa, NY 11758-8012
Phone (646) 642-7029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351119-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Masud Billah Medical Care PC | Current | Accepting new patients | |
| North Ocean Medical Group P.C. | Current | Accepting new patients | |
| Li Family Health NP PLLC | Family | Current | Accepting new patients |
Locations
212 Linda Ave
Unit 511
Aquebogue, NY 11931
Phone (631) 778-8851
152 N Ocean Ave
Patchogue, NY 11772
Phone (631) 730-1189
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Aquebogue, NY
- NPI 1457295313
-
- Clinic/Center
- Massapequa, NY
- NPI 1609644681
-
- Family Nurse Practitioner
- Valley Stream, NY
- NPI 1770327447
-
- Internal Medicine Physician
- Brookhaven, NY
- NPI 1629803507
-
- Internal Medicine Physician
- Patchogue, NY
- NPI 1477819001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1265148167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 ROUTE 58 # 1034",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 ROUTE 58 # 1034",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012141",
"telephone_number": "631-741-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROS",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351119-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.