Walter Perez, M.D., L.L.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WALTER PEREZ, M.D., L.L.C.

Doing business as

Walter Perez, M.D LLC

Practice address

213 Harrison Ave
Harrison, NJ 07029-1340

Phone

(973) 350-0800

Fax

(973) 350-0885

NPI assigned

Apr 6, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WALTER PEREZ, M.D LLCAs reported in NPPES

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

Authorized official

Name

Ines Perez

Title

Administrator

Phone

(973) 868-6597

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 2

• Walter Perez, M.D LLC Doing business as
• Walter Perez, M.D Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

Walter Perez MD LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Perez, MD

  • Obstetrics & Gynecology Physician
  • Harrison, NJ
  • NPI 1255396982
  Medicare reassignment NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467414128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070290213",
            "telephone_number": "973-350-0800",
            "fax_number": "973-350-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291340",
            "telephone_number": "973-350-0800",
            "fax_number": "973-350-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER PEREZ, M.D., L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER PEREZ, M.D LLC",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-868-6597"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "2412577000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60013238",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6953243",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3564059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K7705",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS",
            "identifier": "34730",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000748501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2143265",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2412577001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8223205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Perez, M.D LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walter Perez, M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.