Active NPI
Jose M Soto Perello, MD
- Psychiatry Physician
- West New York, NJ
National Provider Identifier
1801842398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07018100
- Practice address
- 516 51St St
West New York, NJ 07093-5553 - Phone
- (201) 864-4897
- Fax
- (201) 864-4871
- NPI assigned
- May 26, 2006
- Last updated
- Jan 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07018100 | NJ | Primary |
Addresses
Primary practice location
516 51St St
West New York, NJ 07093-5553
Mailing address
516 51St St
West New York, NJ 07093-5553
Phone (201) 864-4897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037087 | Medicaid | NJ |
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 |
|---|---|---|---|
| 25MA07018100 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Silver, M.D. and Gabriel Kaplan, MD, PA | Psychiatry | Past | Accepting new patients |
| Advanced Psychiatric Associates, LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1801842398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 51ST ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935553",
"telephone_number": "201-864-4897",
"fax_number": "201-864-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 51ST ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935553",
"telephone_number": "201-864-4897",
"fax_number": "201-864-4871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO PERELLO",
"first_name": "JOSE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07018100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0037087",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.