Mark Perelman

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

214299 Issued in NY

Practice address

455 E Bay Dr
Long Beach, NY 11561-2301

Phone

(516) 897-1000

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

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  • NPI 1568730703
  NPD (past)
• SWH Naqvi MD PC

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  • NPI 1972834489
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1407820368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 E 24TH ST",
            "address_2": "APT #1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294901",
            "telephone_number": "516-897-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELMAN",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "214299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01980703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen B Pearlstein, RPH
• Pellicane Chiropractic PC
• Norman P Peltz, RPH
• Daniel Joseph Pender, MD
• Julie Lauren Pennetti, ANP-C, RN, CCRN
• Molly Helen Perrotta, PNP-PC
• Sharon M Persky, ERYT-500
• Peter S Gelfand D O P C
• Josephine Pezzillo
• Lisa Gail Phillips-Sullivan, ART THERAPIST

• Legal Medicine in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.