Active NPI
Perry Dean Drucker, MD
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 182903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01433825 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.31 of 100
- Quality
- 100
- Improvement activities
- 20
- Cost
- 54.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.5 of 100
- Quality
- 25
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182903 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Physical Medicine and Rehabilitation Associates of Staten Island LLP | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Richmond Medical Rehabilitation Services, PLLC | Physical Medicine & Rehabilitation | Current | 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.
-
- Specialist
- Staten Island, NY
- NPI 1285842815
NY
-
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
- NPI 1326413378
NY, Physical Medicine & Rehabilitation
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.