Active NPI
Johnson Pereira, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 272960
- Practice address
- 140 W 69TH St
Apt# 79 B
New York, NY 10023-5107 - Phone
- (718) 928-4016
- NPI assigned
- May 28, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD447256 | PA | |
| Hospitalist Physician | 208M00000X | 272960 | NY | |
| Internal Medicine Physician | 207R00000X | 272960 | NY | Primary |
Addresses
Primary practice location
140 W 69TH St
Apt# 79 B
New York, NY 10023-5107
Mailing address
140 W 69TH St
Apt#79B
New York, NY 10023-5107
Phone (718) 928-4016
Other practice location 1
600 Northern Blvd
Hospitalist Department
Albany, NY 12204
Phone (518) 471-3221
Other practice location 2
315 So Manning Blvd
Hospitalist Department
Albany, NY 12208
Phone (518) 525-1550
Other practice location 3
2215 Burdett Avenue
Hospitalist Department
Troy, NY 12180
Phone (518) 271-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840
Hospital & facility affiliations
- Harlem Hospital Center
- Vassar Brothers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272960 | NY | MD | Internal Medicine Physician |
| MD447256 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Symphony Medical PC | Hospitalist | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
| Symphony Medical PC | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Symphony Medical PC | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
- jpereira680859@nychhc.direct-ci.com
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
- Hospitalist Physician
- Dobbs Ferry, NY
- NPI 1659787653
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Internal Medicine
-
- Orthopaedic Surgery Physician
- Dobbs Ferry, NY
- NPI 1023600327
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1033124961
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1396064341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 69TH ST",
"address_2": "APT#79B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235107",
"telephone_number": "718-928-4016",
"fax_number": "718-928-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 69TH ST",
"address_2": "APT# 79 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235107",
"telephone_number": "718-928-4016"
}
],
"practiceLocations": [
{
"address_1": "600 Northern Blvd",
"address_2": "Hospitalist Department",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "12204",
"country_code": "US",
"telephone_number": "518-471-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 So Manning Blvd",
"address_2": "Hospitalist Department",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "12208",
"country_code": "US",
"telephone_number": "518-525-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Avenue",
"address_2": "Hospitalist Department",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "12180",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "JOHNSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD447256",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "272960",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "272960",
"primary": true
}
],
"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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.