Individual provider Active NPI

Astaire Perez, PT, DPT

  • Specialist
  • Berkeley Heights, NJ
National Provider Identifier
1447226246
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00996900 Issued in NJ
Practice address
625 Springfield Ave
Berkeley Heights, NJ 07922-1012
Phone
(848) 482-7230
Fax
(858) 482-7229
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00996900 NJ Primary

Addresses

Primary practice location

625 Springfield Ave
Berkeley Heights, NJ 07922-1012

Mailing address

625 Springfield Ave
Berkeley Heights, NJ 07922-1012
Phone (848) 482-7230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000204 NJ Practitioner - Physical Therapist in Private Practice 4789627993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT ServicesGroup PAC ID 9537387428, 6 clinicians

Practice addresses (Care Compare)

625 Springfield Ave
Berkeley Heights, NJ 07922-1012
Phone (201) 600-5898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00996900NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Services CurrentSince Apr 24, 2014 Accepting new patients
Fox Rehabilitation Services Inc CurrentSince Nov 1, 2021 Accepting new patients
Elizabeth Chiropractic & Rehab, PA PastSince Jan 1, 2006 Accepting new patients
Debenedictis & Testa, DPM, PA PastSince Aug 6, 1991 Accepting new patients
Clifton Orthopedic Associates P.a. Past Accepting new patients
Light Touch Chiropractic PC Past Accepting new patients

Locations

625 Springfield Ave
Berkeley Heights, NJ 07922
Phone (201) 600-5898

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1447226246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221012",
            "telephone_number": "848-482-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221012",
            "telephone_number": "848-482-7230",
            "fax_number": "858-482-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ASTAIRE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00996900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.