Individual provider Active NPI

Noel I Perinpanayagam, MD

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1629089743
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
1741831 Issued in NY
Practice address
530 1St Ave
Suite 8S
New York, NY 10016-6402
Phone
(212) 263-5732
Fax
(212) 263-5328
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 1741831 NY Primary

Addresses

Primary practice location

530 1St Ave
Suite 8S
New York, NY 10016-6402

Mailing address

530 1St Ave
New York, NY 10016-6402

Other identifiers 1

IdentifierTypeStateIssuer
01522178MedicaidNY

Other names 1

  • Noel I Perin Professional name

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
I20091116000250 NY Practitioner - Neurosurgery 5597803346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1741831NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Neurological Surgery CurrentSince Sep 1, 2011 Accepting new patients
New York University CurrentSince Sep 1, 2011 Accepting new patients
New York University Past Accepting new patients
North Shore Long Island Jewish Health Care Inc Past Accepting new patients

Locations

530 1st Ave
Ste 8S
New York, NY 10016
Phone (212) 263-2607

355 W 52nd St
Fl 7
New York, NY 10019
Phone (646) 778-5550

1000 10th Ave
#5G80
New York, NY 10019
Phone (212) 523-6720

1000 10th Ave
Ste 4E
New York, NY 10019
Phone (212) 523-6720

111 Amsterdam Ave
New York, NY 10023
Phone (212) 523-3413

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: nperin680906@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1629089743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 8S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5732",
            "fax_number": "212-263-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINPANAYAGAM",
        "first_name": "NOEL",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "1741831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEL",
            "last_name": "PERIN",
            "middle_name": "I",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.