Perla Tate Physicians PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

148802 Issued in NY

Legal business name

PERLA TATE PHYSICIANS PLLC

Practice address

80 Guy Lombardo Ave
Freeport, NY 11520-3715

Phone

(516) 377-1023

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Perla Tate, M.D.

Title

Owner/Director

Phone

(516) 377-1023

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427090174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203715",
            "telephone_number": "516-377-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203715",
            "telephone_number": "516-377-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA TATE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "PERLA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "516-377-1023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "148802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eunice Soliman Penacerrada, PT, DPT
• Novelette Pennant, LPN
• Alejandro Pepen Romero, M.D.
• Leslie C Peralta, RD
• Kate Perena
• Nairobi Perry
• Navida Persaud, RPH
• Personal Care NP in Family Health and Psychiatry PLLC
• Personnel Healthcare Management, LLC
• Dorothy S Petty, LMSW

• Gynecology Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.