Individual provider Active NPI

Juan Risech-Perez, MD

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1730926841
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P128435 Issued in NY
Practice address
6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone
(718) 263-4600
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P128435 NY Primary

Addresses

Primary practice location

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Mailing address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone (718) 263-4600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240807002172 NY Practitioner - Internal Medicine 1850838954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P128435NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC Internal Medicine CurrentSince Feb 5, 2025 Accepting new patients
Internal Medicine Solutions P.C. Internal Medicine CurrentSince Jun 12, 2024 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440

110 Meisner Ave
Staten Island, NY 10306
Phone (718) 554-8700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1730926841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISECH-PEREZ",
        "first_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P128435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.