NPIMap

Individual provider Active NPI

Peter Perdik, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1760429294
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186006 Issued in NY
Practice address
1991 Marcus Ave
New Hyde Park, NY 11042-2057
Phone
(516) 354-1600
Fax
(516) 941-4672
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186006 NY Primary
Pulmonary Disease Physician 207RP1001X 186006 NY

Addresses

Primary practice location

1991 Marcus Ave
New Hyde Park, NY 11042-2057

Mailing address

55 Water St
12TH Floor, Credentialing
New York, NY 10041-0004
Phone (646) 680-2888

Other identifiers 1

IdentifierTypeStateIssuer
01722678MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051210000097 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3476574054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

4201 Bell Blvd
Bayside, NY 11361-2863
Phone (718) 571-9341

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186006NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Dec 7, 2025 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
New York University Internal Medicine CurrentSince Dec 7, 2025 Accepting new patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Internal Medicine Associates, PC Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

4201 Bell Blvd
Bayside, NY 11361
Phone (253) 968-1511

25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

2035 Lakeville Rd
North New Hyde Pk, NY 11040
Phone (516) 328-9797

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600

131 Sunset Ave
Westhampton Beach, NY 11978
Phone (631) 953-4500

Networks

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

Organizations & group practices 8

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 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1760429294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST",
            "address_2": "12TH FLOOR, CREDENTIALING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDIK",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186006",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "186006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.