Victor E Peralta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

175290 Issued in NY

Practice address

93-20A Roosevelt Ave.
Suite 2a
Jackson Heights, NY 11372

Phone

(718) 334-6793

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: vperalta85144@nychhc.direct-ci.com

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.

• International Pediatrics Plus

  • Primary Care Clinic/Center
  • Jackson Heights, NY
  • NPI 1629284237
  NPD (past) Authorized official
• Pediatrics for Queens & Kings

  • Primary Care Clinic/Center
  • Jackson Heights, NY
  • NPI 1396955878
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265522643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93-20A ROOSEVELT AVE.",
            "address_2": "SUITE 2A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-334-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93-20A ROOSEVELT AVE.",
            "address_2": "SUITE 2A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-334-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "VICTOR",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "175290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Segarra Jr
• Peds, Inc
• Edward Peguero, ORTHOTIST
• Shania Cameron M Perales, PT
• Emely Peralta
• Carolina Perez-Clementi, P. A.
• Hector Herminio Perez, D.D.S.
• Jose Alberto Perez
• Linda Perez, MD
• Michelle Alexis Permaul

• Pediatrics Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.