Raven Perez

Primary specialty

SpecialistTaxonomy code 174400000X

License

499928083 Issued in NY

Practice address

2 Quail LN
East Setauket, NY 11733-2620

Phone

(917) 907-0294

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1881006393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 QUAIL LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332620",
            "telephone_number": "917-907-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 QUAIL LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332620",
            "telephone_number": "917-907-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAVEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "499928083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Penna, M.D.
• Denise Pennisi
• Rohan Gerard Perera, M.D.
• Lance William Perez, PA-C
• Patricia Walsh Perez, CNS
• Candice Perkins, M.D.
• Seth Evan Persky, MD
• Melissa Peskin-Stolze, M.D.
• David L Peters, D.O.
• Matthew Petersen, P.A.

• Specialist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.