Active NPI
Humberto T Perez, M.D.
- Family Medicine Physician
- Jersey City, NJ
National Provider Identifier
1326121872
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA02353300
- Practice address
- 646 Jersey Ave
Jersey City, NJ 07302-2014 - Phone
- (201) 656-5711
- Fax
- (201) 656-1072
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 25MA02353300 | NJ | Primary |
Addresses
Primary practice location
646 Jersey Ave
Jersey City, NJ 07302-2014
Mailing address
646 Jersey Ave
Jersey City, NJ 07302-2014
Phone (201) 656-5711
Other practice location 1
646 Jersey Ave
Jersey City, NJ 07302-2014
Phone (201) 656-5711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 520899 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02353300 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Shah Anuj MD PC | Past | Accepting new patients |
Interoperability endpoints
- humberto.perez@direct.christhospital.md
Organizations & group practices 2
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.
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
dba Apex Heart and Vascular Care
- Interventional Cardiology Physician
- Passaic, NJ
- NPI 1215445127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1326121872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 JERSEY AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022014",
"telephone_number": "201-656-5711",
"fax_number": "201-656-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 JERSEY AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022014",
"telephone_number": "201-656-5711",
"fax_number": "201-656-1072"
}
],
"practiceLocations": [
{
"address_1": "646 Jersey Ave",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073022014",
"country_code": "US",
"telephone_number": "201-656-5711",
"fax_number": "201-656-6354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "HUMBERTO",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA02353300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "520899",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.