Louis Peralte, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

195347 Issued in NY

Practice address

14420 29TH Ave
Flushing, NY 11354-1331

Phone

(718) 460-1681

Fax

(718) 463-0633

NPI assigned

Sep 12, 2005

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 2

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 Medicine

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1508851932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 29TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 29TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541331",
            "telephone_number": "718-460-1681",
            "fax_number": "718-463-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTE",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "195347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "01579",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Pepe, LMSW, PHD
• Aviva H Peppard, RPA-C
• Lewis D Pepper, MD, MPH
• Kelly C Peralta
• Rosanna Dejesus Peralta
• Frederick Andrew Pereira, MD
• Erik Odalis Perez-Batista, M.D.
• Frederick Perez
• Glenda C Perez, RN
• Jaime Noelle Perez

• General Practice Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.