Organization Active NPI

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

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1376922377
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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.NPI 1497824817
Title
Medical Director
Phone
(212) 567-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

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

Mailing address

47 Sickles St Ofc 1a
New York, NY 10040-1604
Phone (212) 567-6200

National Provider Directory

National Provider Directory

Locations

47 Sickles St
Ofc 1A
New York, NY 10040
Phone (212) 567-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.