Jeffrey Anthony De Perio, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

196887-1 Issued in NY

Practice address

571 Terrace Blvd
Depew, NY 14043-3610

Phone

(716) 683-6737

Fax

(716) 683-5463

NPI assigned

Apr 4, 2006

Last updated

Mar 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Northwestern University Feinberg Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lakeshore Primary Care Associates LLP

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1225250525
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1841252111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 TERRACE BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140433610",
            "telephone_number": "716-683-6737",
            "fax_number": "716-683-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 TERRACE BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140433610",
            "telephone_number": "716-683-6737",
            "fax_number": "716-683-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PERIO",
        "first_name": "JEFFREY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "196887-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01604553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Thomas Cracchiola, D.C.
• Lauren Cuisia, PT, DPT
• CVS Albany LLC (CVS Pharmacy #17271)
• Claire Victoria Damore, MS, OTR/L
• Crystal Nichole Davern, LPN
• Alice Jessup Dedrick, RPH
• Leo John Delaney, RPH
• Demarco Chiropractic PLLC
• Lisa Ann Demarco, DC
• Julie A Dembski, MS, OTR/L

• Surgery Physician in Depew, NY
• Providers in Depew, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.
• 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.