John Pereca, PA-C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

027146 Issued in NY

Practice address

989 W Jericho Tpke
Smithtown, NY 11787-3241

Phone

(631) 796-7971

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1386312858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PINECONE LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873241",
            "telephone_number": "631-796-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERECA",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "027146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "989 W Jericho Tpke",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117873241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Ann Pena, DPT
• Lynn Marie Penney, NPP
• Sahana Pentyala, LCSW
• Debra Lynn Peoples, L.M.S.W.
• Jillian Marie Peragallo
• Ameet Kaur Perez, P.A.
• Brenna Perez, MHC-LP
• Carolyn Perez, R.N.
• Donna Mae Mendoza Perez
• Jenny Perez, REGISTERED NURSE

• Orthopaedic Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.