NPIMap

Individual provider Active NPI

Dora Perez, MS, ANP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1467852251
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
30-306934 Issued in NY
Practice address
25 5TH Ave Apt 1F
New York, NY 10003-4308
Phone
(646) 580-3538
Fax
(844) 841-8382
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30-306934 NY Primary

Addresses

Primary practice location

25 5TH Ave Apt 1F
New York, NY 10003-4308

Mailing address

25 5TH Ave Apt 1F
New York, NY 10003-4308
Phone (646) 580-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150724010925 NJ Practitioner - Nurse Practitioner 7911210539 Reassigns benefits to 3 organizations
I20180411001631 NY Practitioner - Nurse Practitioner 7911210539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19 Davis Ave
Neptune, NJ 07753-4488

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306934NYMDEmergency Medicine Physician
30-306934NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pain Management LLC CurrentSince Aug 1, 2021 Accepting new patients
Manhattan Pain Medicine, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 14, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 14, 2024 Accepting new patients
New York University CurrentSince Apr 9, 2018 Accepting new patients
Center for Pain Management CurrentSince Sep 14, 2020 Accepting new patients
New York University CurrentSince Apr 9, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

294 State St
Ste 1
Hackensack, NJ 07601
Phone (201) 488-7246

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

802 W Park Ave
Ste 223
Ocean, NJ 07712
Phone (732) 493-2040

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

300 W Water St
Ste C
Toms River, NJ 08753
Phone (732) 349-4030

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

25 5th Ave
Apt 1F
New York, NY 10003
Phone (212) 287-7211

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

2 5th Ave
Ste 7
New York, NY 10011
Phone (646) 580-3538

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16180/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1467852251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 5TH AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034308",
            "telephone_number": "646-580-3538",
            "fax_number": "844-841-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 5TH AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034308",
            "telephone_number": "646-580-3538",
            "fax_number": "844-841-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DORA",
        "name_prefix": "Mrs.",
        "credential": "MS, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30-306934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.