Dr Andres Miguel Pereira M.D.P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR ANDRES MIGUEL PEREIRA M.D.P.C.

Practice address

47 Sickles St Ofc 1a
New York, NY 10040-1604

Phone

(212) 567-6200

Fax

(212) 567-9397

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andres Miguel Pereira, M.D.

Title

Medical Director

Phone

(212) 567-6200

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1376922377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401604",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401604",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDRES MIGUEL PEREIRA M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-567-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01072586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.