Edwin Perez, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

279837 Issued in NY

Practice address

1396 Myrtle Ave
Brooklyn, NY 11237-4513

Phone

(718) 919-1000

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Rutgers School of Dental Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/430a7ff7-9999-4cda-a19f-fb8b573704c8/
• Direct secure messaging: edwin.perez.2@11998.direct.athenahealth.com

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.

• Stephen J Nicholas MD PC

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1316933872
  Medicare reassignment Care Compare group NPD
• Goldstep Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1689059222

  Anesthesiology

  Medicare reassignment NPD
• New York University

  • Otolaryngology Physician
  • New York, NY
  • NPI 1851456701

  Anesthesiology

  Medicare reassignment NPD
• R&N Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447657275
  Medicare reassignment NPD
• Rehabilitation Medicine Practice of New York, PLLC

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1376672147
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• Stephen J Nicholas MD PC

  • Durable Medical Equipment & Medical Supplies
  • Scarsdale, NY
  • NPI 1093517393
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• New York University

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1952392946
  NPD
• Glacier Cryo Medical P.C

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1689889974
  NPD (past)
• Peninsula Radiology Associates P C

  • Diagnostic Radiology Physician
  • Far Rockaway, NY
  • NPI 1700896602
  NPD (past)
• American Anesthesiology of New Jersey, P.C.

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1386654036
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1730340902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374513",
            "telephone_number": "718-919-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00049215",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "279837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8538217",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Perez, CASAC2
• Cheidy R Perez
• Clarissa Perez
• Cristina Maria Perez, OTR/L
• Diana Perez
• Eileen Perez
• Emily Perez
• Evangeline Perez, DO
• Genesis Perez
• Gina-Fernanda Perez, PA-C

• Pain Medicine (Anesthesiology) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
• 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.