Individual provider Active NPI

Jonathan Perk, M.D. PH.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Brooklyn, NY
National Provider Identifier
1275790842
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
259413 Issued in NY
Practice address
339 Hicks St
Lich, Neurology Department
Brooklyn, NY 11201-5509
Phone
(718) 780-1124
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 259413 NY Primary

Addresses

Primary practice location

339 Hicks St
Lich, Neurology Department
Brooklyn, NY 11201-5509

Mailing address

241 E 76TH St
Apt 3F
New York, NY 10021-2164
Phone (212) 794-9691

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000001 NY Practitioner - Neurology 5597905711 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2013 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 19, 2022 Accepting new patients
MMC Division of Neurology FPP CurrentSince Aug 19, 2022 Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

Networks

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

Interoperability endpoints

  • Direct secure messaging: jperk1039317@nychhc.direct-ci.com
  • Direct secure messaging: jonathanperk@sunydmc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1275790842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E 76TH ST",
            "address_2": "APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212164",
            "telephone_number": "212-794-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "LICH, NEUROLOGY DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERK",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "259413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.