Individual provider Active NPI

Denise Angelique Perez, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1265941967
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340051 Issued in NY
Practice address
408 W 57TH St Ste 1C
New York, NY 10019-3053
Phone
(914) 294-4509
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340051 NY Primary

Addresses

Primary practice location

408 W 57TH St Ste 1C
New York, NY 10019-3053

Mailing address

95-117 Ravine Ave
Yonkers, NY 10701-2165
Phone (914) 457-1963

Other practice location 1

428 W 59th St
New York, NY 10019-1105
Phone (917) 557-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191025001507 NY Practitioner - Nurse Practitioner 5294067195 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Essen Medical Urgicare, PLLCGroup PAC ID 4385960897, 60 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452-1503
Phone (347) 269-2366

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340051NYMDPhysical Medicine & Rehabilitation Physician
F340051NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Healing Hands Urgent Care Family CurrentSince Aug 15, 2021 Accepting new patients
Symphony Medical PC CurrentSince Nov 13, 2022 Accepting new patients
Startcare, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Startcare, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Start Treatment & Recovery Centers Inc Current Accepting new patients
Symphony Medical PC CurrentSince Nov 13, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Nov 1, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Feb 14, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 18, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 18, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Feb 14, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 18, 2019 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

111 E 210th St
Bronx, NY 10467

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

408 W 57th St
Ste 1C
New York, NY 10019
Phone (914) 294-4509

119 W 124th St
New York, NY 10027
Phone (212) 932-2676

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • Direct secure messaging: denise.perez@ema.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1265941967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-117 RAVINE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012165",
            "telephone_number": "914-457-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 57TH ST STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193053",
            "telephone_number": "914-294-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 W 59th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191105",
            "country_code": "US",
            "telephone_number": "917-557-7861",
            "fax_number": "917-557-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DENISE",
        "middle_name": "ANGELIQUE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.