Active NPI
Annette Perea, M.D.
- Pediatrics Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 225537
- Practice address
- 4008 Forley St
Elmhurst, NY 11373-1427 - Phone
- (718) 446-0270
- Fax
- (718) 446-5939
- NPI assigned
- Jul 15, 2006
- Last updated
- Jun 7, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 225537 | NY | Primary |
Addresses
Primary practice location
4008 Forley St
Elmhurst, NY 11373-1427
Mailing address
4008 Forley Street
Elmhurst, NY 11373-1493
Phone (718) 446-0270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02356572 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225537 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 9317 Medical Office PC | Pediatrics | Current | Accepting new patients |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients |
Locations
2645 SW 37th Ave
Ste 701
Miami, FL 33133
Phone (305) 476-0025
4008 Forley St
Flushing, NY 11373
Phone (718) 446-0270
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJCIAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1871707372
FL, Pediatrics
-
dba Steven & Alexandra Cohen Children's Medical Center of New York
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1811913452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 FORLEY STREET",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731493",
"telephone_number": "718-446-0270",
"fax_number": "718-446-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 FORLEY ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731427",
"telephone_number": "718-446-0270",
"fax_number": "718-446-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "ANNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "225537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02356572",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.