Individual provider Active NPI

Jeffrey L. Perper, D.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1861608622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004381-1 Issued in NY
Practice address
15337 78TH Rd
Flushing, NY 11367-3541
Phone
(718) 380-4047
Fax
(718) 380-4048
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004381-1 NY Primary

Addresses

Primary practice location

15337 78TH Rd
Flushing, NY 11367-3541

Mailing address

15337 78TH Rd
Flushing, NY 11367-3541
Phone (718) 380-4047

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110506000588 NY Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0749465714 Practice locations: Flushing, NY; Woodridge, NY

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

388 Davos Rd
Woodridge, NY 12789-5209
Phone (646) 552-5819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004381-1NYMDChiropractor
004381NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861608622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15337 78TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673541",
            "telephone_number": "718-380-4047",
            "fax_number": "718-380-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15337 78TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673541",
            "telephone_number": "718-380-4047",
            "fax_number": "718-380-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERPER",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004381-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.