Individual provider Active NPI

David Thomas Perna, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1780757666
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010423-1 Issued in NY
Practice address
133 E 58TH Street
Suite 708
New York, NY 10022-1236
Phone
(212) 371-2000
Fax
(212) 371-2250
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010423-1 NY Primary
Chiropractor 111N00000X 38MC00603300 NJ

Addresses

Primary practice location

133 E 58TH Street
Suite 708
New York, NY 10022-1236

Mailing address

133 E 58TH Street
Suite 708
New York, NY 10022-1236
Phone (212) 371-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060113000779 NY Practitioner - Chiropractic 9931123130 Reassigns benefits to 1 organization
I20190131000330 NJ Practitioner - Chiropractic 9931123130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back and Body Pain Relief LLCGroup PAC ID 7517204407, 5 clinicians

Practice addresses (Care Compare)

355 Route 22
Suite D
Springfield, NJ 07081-3511

355 Route 22
Suite D
Springfield, NJ 07081-3581
Phone (908) 325-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010423-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back and Body Pain Relief LLC Chiropractor CurrentSince Aug 3, 2017 Accepting new patients
Back and Body Medical Care, P.C. CurrentSince Nov 8, 2010 Accepting new patients
Edwin, Inc Chiropractor Past Accepting new patients

Locations

355 US Highway 22 E
Ste D
Springfield, NJ 07081
Phone (908) 325-3000

133 E 58th St
Ste 708
New York, NY 10022
Phone (212) 371-2000

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1780757666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH STREET",
            "address_2": "SUITE 708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-371-2000",
            "fax_number": "212-371-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH STREET",
            "address_2": "SUITE 708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-371-2000",
            "fax_number": "212-371-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010423-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00603300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.