Robert Peracchia, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

048474 Issued in NY

Practice address

327 Central Park West
Suite 1C
New York, NY 10025

Phone

(212) 280-1700

Fax

(212) 280-3447

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West End Ave Pediatric Dentistry

  • Pediatric Dentistry
  • New York, NY
  • NPI 1962125617
  NPD Authorized official
• Pediatric Dentistry & West Side Orthodontics, LLC

  dba Central Park West Pediatric Dentistry

  • Pediatric Dentistry
  • New York, NY
  • NPI 1497589071
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659444008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CENTRAL PARK WEST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-280-1700",
            "fax_number": "212-280-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CENTRAL PARK WEST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-280-1700",
            "fax_number": "212-280-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERACCHIA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "048474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peppy Medical of New Jersey, P.C.
• Peppy Medical, P.a.
• Michelle Peprah
• Samara Per, PT
• Pera Dental Care
• Carla Peragallo
• Melanie Peragine, PA-C
• Nicholas Peragine
• Daniela Peraino, LMHC
• Talita Aparecida Peraino, NURSE PRACTITIONER

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.