Active NPI
Mark F Perry, MD
- Pediatrics Physician
- Amherst, NY
National Provider Identifier
1891752135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 218400
- Practice address
- 1185 Sweet Home Rd
Amherst, NY 14226-1018 - Phone
- (716) 689-0040
- Fax
- (716) 568-2337
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- 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 | 218400 | NY | Primary |
Addresses
Primary practice location
1185 Sweet Home Rd
Amherst, NY 14226-1018
Mailing address
1185 Sweet Home Rd
Attn: Betty Piccillo
Amherst, NY 14226-1018
Phone (716) 656-4250
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026169002 | Other | NY | UNIVERA # |
| 1292784 | Other | NY | IHA # |
| 159656DL | Other | NY | PREFERRED CARE # |
| 000528079002 | Other | NY | HEALTH NOW BCBS # MM |
| 000528079001 | Other | NY | HEALTH NOW BCBS # WS |
| 040426003127 | Other | NY | FIDELIS # |
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
Interoperability endpoints
- markperrymd@orchardparkpediatrics.medentdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1891752135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 SWEET HOME RD",
"address_2": "ATTN: BETTY PICCILLO",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261018",
"telephone_number": "716-656-4250",
"fax_number": "716-656-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 SWEET HOME RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261018",
"telephone_number": "716-689-0040",
"fax_number": "716-568-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MARK",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "218400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00026169002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "1292784",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "159656DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW BCBS # MM",
"identifier": "000528079002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW BCBS # WS",
"identifier": "000528079001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS #",
"identifier": "040426003127",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.