Vijaya Deepika Perugu, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

275936 Issued in NY

Practice address

853 Tiffany St
Bronx, NY 10459-4503

Phone

(718) 860-6169

NPI assigned

Oct 7, 2011

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

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

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.

• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1669756649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 CAMBRIDGE AVENUE",
            "address_2": "APARTMENT - 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "856-857-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 TIFFANY ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594503",
            "telephone_number": "718-860-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUGU",
        "first_name": "VIJAYA DEEPIKA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med
• Personalize Your Therapy, LCSW, PLLC
• Helen Persovsky, RD
• Frances Pertubal, PT
• Lori Allison Perucci, OTR/L
• Mohammad Pervez, M.D.
• Juan Daniel Pesantez Araujo, MD
• Juan Bernardo Pesantez Rosales, MD
• Thomas Joseph Pesce, DDS
• Isabel Fernandez Pesola, M.D.

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.