Michael J Pereira, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD453550 Issued in PA

Practice address

98 Pancake Hollow Dr
Wayne, NJ 07470-3205

Phone

(973) 668-7470

Fax

(610) 250-4858

NPI assigned

Aug 31, 2006

Last updated

May 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Radiation Oncology

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Group practices

Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: mpereira@premiermedicalhv.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Medical Group of the Hudson Valley P.C.

  • Urology Physician
  • Poughkeepsie, NY
  • NPI 1255437166
  Medicare reassignment Care Compare group NPD
• Hudson Valley Oncology Associates PLLC

  • Radiation Oncology Physician
  • Poughkeepsie, NY
  • NPI 1104825793
  Medicare reassignment NPD
• Steward Medical Group Inc.

  • Internal Medicine Physician
  • Brookfield, OH
  • NPI 1902347438

  PA

  Medicare reassignment NPD
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Wappingers Falls, NY
  • NPI 1467290130
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1013220151
  NPD
• Bayonne Radiation Oncology Associates, LLC

  • Radiation Oncology Physician
  • Mahwah, NJ
  • NPI 1902858020
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westchester County Health Care Corporation

  dba Westchester Medical Center

  • General Acute Care Hospital
  • Valhalla, NY
  • NPI 1932280666
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1578675112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 PANCAKE HOLLOW DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703205",
            "telephone_number": "973-668-7470",
            "fax_number": "973-668-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PANCAKE HOLLOW DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703205",
            "telephone_number": "973-668-7470",
            "fax_number": "610-250-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA05439800",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "273085-01",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "77394",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "MD0000052236",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.141290",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35141290",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD453550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5632501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Rehabilitation of North Jersey PC
• Jennifer Pedicone, CCC-SLP
• Caitlin Rose Peltyszyn, PT, DPT
• Betsy Pendexter, R.N., A.P.N.
• Gary Pepe, M.D.
• Ada Perez
• Jessica Perez
• Performance Orthopaedic Specialists, LLC
• Performance Physical Therapy & Sports Conditioning LLC
• Performance PT LLC

• Radiation Oncology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.

Verify at the official NPI Registry.