Robert Perello, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

185997 Issued in NY

Practice address

3332 Broadway
New York, NY 10031-8732

Phone

(212) 694-2000

Fax

(212) 281-4296

NPI assigned

Oct 13, 2005

Last updated

Dec 14, 2012By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: robert.perello@p2k.eclinicaldirectplus.com

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1780672717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318732",
            "telephone_number": "212-694-2000",
            "fax_number": "212-281-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318732",
            "telephone_number": "212-694-2000",
            "fax_number": "212-281-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELLO",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME68149",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "185997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277238",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378357000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Perekalsky, OD
• Alexandra Perel-Winkler, MD
• Annette Marie Perel
• Connie Perel, D.D.S.
• Valerie Cheriff Perel, M.D.
• Tzaddi Perellon, RPH
• Nicole Danielle Perelman-Prozer, LMSW
• Allison Perelman, MD
• Michael A. Perelman, PHD
• Sarah Ellen Perelman, MD

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.