Individual provider Active NPI

Cheryl J Perog, PA-C, DHSC

  • Medical Physician Assistant
  • Albany, NY
National Provider Identifier
1508893157
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003521 Issued in NY
Practice address
St. Peter'S Hospitoal Occupational Health
310 South Manning Boulevard
Albany, NY 12053
Phone
(518) 525-2363
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003521 NY Primary

Addresses

Primary practice location

St. Peter'S Hospitoal Occupational Health
310 South Manning Boulevard
Albany, NY 12053

Mailing address

21 Lea Dr
Delanson, NY 12053-3551
Phone (518) 875-6192

Other identifiers 1

IdentifierTypeStateIssuer
003521OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1508893157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LEA DR",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120533551",
            "telephone_number": "518-875-6192",
            "fax_number": "518-875-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. PETER'S HOSPITOAL OCCUPATIONAL HEALTH",
            "address_2": "310 SOUTH MANNING BOULEVARD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12053",
            "telephone_number": "518-525-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROG",
        "first_name": "CHERYL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA-C, DHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.