Individual provider Active NPI

Richard Periut, MD

  • Pulmonary Disease Physician
  • Union City, NJ
National Provider Identifier
1720034606
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA68984 Issued in NJ
Practice address
3701 Park Ave
Union City, NJ 07087-6021
Phone
(201) 440-2222
Fax
(201) 440-2282
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA68984 NJ Primary

Addresses

Primary practice location

3701 Park Ave
Union City, NJ 07087-6021

Mailing address

44 Franklin St
Little Ferry, NJ 07643-1218
Phone (201) 512-9494

Other identifiers 1

IdentifierTypeStateIssuer
8964807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20040301001022 NY Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7012804404 Reassigns benefits to 2 organizations
I20040315001208 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7012804404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center-Maimo Criticare FPPGroup PAC ID 3476441726, 14 clinicians

Practice addresses (Care Compare)

5908 Kennedy Blvd
West New York, NJ 07093-1399
Phone (201) 440-2222

953 49TH St
Brooklyn, NY 11219-2923
Phone (718) 283-8342

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68984NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 2, 2018 Accepting new patients
Richard Periut MD LLC CurrentSince Mar 15, 2006 Accepting new patients
Maimonides Medical Center - Maimo Criticare FPP Pulmonary Disease CurrentSince Apr 8, 1998 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Humc Opco LLC Current Accepting new patients

Locations

3701 Park Ave
Union City, NJ 07087
Phone (201) 440-2222

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • Direct secure messaging: richardperiut@mai.allscriptsdirect.net
  • Direct secure messaging: richard.periut@direct.hobokenumc.md

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1720034606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FRANKLIN ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431218",
            "telephone_number": "201-512-9494",
            "fax_number": "201-512-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PARK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876021",
            "telephone_number": "201-440-2222",
            "fax_number": "201-440-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIUT",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA68984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.