Individual provider Active NPI

Johnson Pereira, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1396064341
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
272960 Issued in NY
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

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130823001280 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6103078670 Reassigns benefits to 1 organization
I20140731002837 NY Practitioner - Internal MedicinePractitioner - Hospitalist 6103078670 Reassigns benefits to 8 organizations
I20230323002732 TN Practitioner - Internal Medicine 6103078670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

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 Hospital, New York, NY, CCN 330240
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
272960NYMDInternal Medicine Physician
MD447256PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince May 25, 2019 Accepting new patients
Symphony Medical PC Hospitalist CurrentSince Jun 1, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Feb 24, 2023 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince May 25, 2019 Accepting new patients
Symphony Medical PC CurrentSince Jun 1, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Wyckoff Professional Medical Services, PC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince May 25, 2019 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Harlem Medical Associates PC CurrentSince Sep 18, 2017 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 1, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.