Stephen Gomes Pereira, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA65318 Issued in NJ

Practice address

90 Prospect Ave
Suite 1D
Hackensack, NJ 07601-1909

Phone

(201) 343-3433

Fax

(201) 343-0420

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

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

Specialty

General Surgery

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score

20.79 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

69.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• One Surgical Specialists

  • Surgery Physician
  • Paramus, NJ
  • NPI 1134422876
  Medicare reassignment NPD

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• Vhsnj at Home, LLC

  • Home Health Agency
  • Woodland Park, NJ
  • NPI 1518407642
  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1669432159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "STE 1D",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-343-3433",
            "fax_number": "201-343-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "SUITE 1D",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-343-3433",
            "fax_number": "201-343-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "STEPHEN",
        "middle_name": "GOMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA65318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• People Care New Jersey Inc.
• Carmen Cecilia Peralta, FNP
• Stephen Percy Jr., MD
• Clarice Perdomo, LPC
• Kimberly J Perdomo, AGPCNP-BC
• Irina Perelman, O.D.
• Adriana M. Perez, M.D.
• Alexa M Perez
• Brian Perez, MD
• Periodontal and Implant Solutions, L.L.C.

• Surgery Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
• 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.