Active NPI
Patricia M. Perosio, MD
- Anatomic Pathology & Clinical Pathology Physician
- East Norriton, PA
National Provider Identifier
1770547358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD073054L
- Practice address
- 559 W Germantown Pike
East Norriton, PA 19403-4250 - Phone
- (484) 622-1435
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD073054L | PA | Primary |
Addresses
Primary practice location
559 W Germantown Pike
East Norriton, PA 19403-4250
Mailing address
PO Box 820137
Philadelphia, PA 19182-0137
Phone (610) 270-2009
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018669310001 | Medicaid | PA | |
| 1029017 | Other | PA | KEYSTONE MERCY HP |
| 9844399 | Other | PA | CIGNA HMO/PPO |
| 0192149000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| MD073054L | Other | PA | HEALTH PARTNERS |
| 0192149000 | Other | PA | PERSONAL CHOICE/KHPE |
| 220030505 | Other | PA | RRM |
| 464420 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073054L | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1770547358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820137",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820137",
"telephone_number": "610-270-2009",
"fax_number": "610-270-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034250",
"telephone_number": "484-622-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROSIO",
"first_name": "PATRICIA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD073054L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018669310001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HP",
"identifier": "1029017",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "9844399",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "0192149000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "MD073054L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE/KHPE",
"identifier": "0192149000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "220030505",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "464420",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.