Perla Tate, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

148802 Issued in NY

Practice address

1624 Central Ave
Mezzanine
Far Rockaway, NY 11691-4002

Phone

(718) 327-7969

Fax

(718) 327-8463

NPI assigned

Jun 2, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 25, 2015 through Jul 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Ocean Care LLC

  • Clinic/Center
  • Freeport, NY
  • NPI 1205811049
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1578501698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CENTRAL AVE",
            "address_2": "MEZZANINE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-327-7969",
            "fax_number": "718-327-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CENTRAL AVE",
            "address_2": "MEZZANINE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-327-7969",
            "fax_number": "718-327-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "PERLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "148802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay A Tanoy, PT
• Maher Tarabichi, M.D.
• Viktoria Taranto, MD, DO
• Yolanda Tart
• Michael George Tartell, M.D.
• Vijaya J Tathineni, RPH
• Miriam Taubenfeld, OTR/L
• Devorah Teigman, MA,OTR/L
• Rebecca Teitelbaum, OTR/L
• Yocheved Teitelbaum, OTR/L

• Gynecology Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.