Individual provider Active NPI

Perry Dean Drucker, MD

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1528034428
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
182903 Issued in NY
Practice address
361 Edison St
Staten Island, NY 10306-3043
Phone
(718) 980-0101
Fax
(718) 980-1641
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 182903 NY Primary

Addresses

Primary practice location

361 Edison St
Staten Island, NY 10306-3043

Mailing address

361 Edison St
Staten Island, NY 10306-3043
Phone (718) 980-0101

Other identifiers 1

IdentifierTypeStateIssuer
01433825MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080923000407 NY Practitioner - Physical Medicine and Rehabilitation 2466529102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Medical Rehabilitation Services PLLCGroup PAC ID 8224332390, 3 clinicians

Practice addresses (Care Compare)

200 Lafayette Ave
Staten Island, NY 10301-1219
Phone (718) 980-0101

361 Edison St
Staten Island, NY 10306-3043

361 Edison St
Staten Island, NY 10306-3058
Phone (718) 980-0101

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
81.31 of 100Reported as individual
Quality
100
Improvement activities
20
Cost
54.36

Merit-based Incentive Payment System (MIPS)

Final score
47.5 of 100Reported as individual
Quality
25
Improvement activities
20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
182903NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Sep 1, 2024 Accepting new patients
Physical Medicine and Rehabilitation Associates of Staten Island LLP CurrentSince May 1, 2008 Accepting new patients
Amboy Medical Practice PC CurrentSince Oct 1, 2009 Accepting new patients
Richmond Medical Rehabilitation Services, PLLC Physical Medicine & Rehabilitation CurrentSince Nov 15, 2015 Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

611 E 103rd St
Brooklyn, NY 11236
Phone (718) 240-3100

3015 W 29th St
Brooklyn, NY 11224
Phone (718) 266-5700

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829

361 Edison St
Staten Island, NY 10306
Phone (718) 980-0101

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Organizations & group practices 5

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 2

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1528034428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063043",
            "telephone_number": "718-980-0101",
            "fax_number": "718-980-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063043",
            "telephone_number": "718-980-0101",
            "fax_number": "718-980-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "PERRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "182903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01433825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.