Individual provider Active NPI

Moshe Perlman, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1902269558
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019552 Issued in NY
Practice address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone
(718) 252-3000
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019552 NY Primary

Addresses

Primary practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Mailing address

1546 E 34TH St
Brooklyn, NY 11234-3437
Phone (718) 644-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129002518 NJ Practitioner - Physician Assistant 7012309370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

Practice addresses (Care Compare)

108 Hillside Blvd
Lakewood, NJ 08701-3148
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1251

485 Locust St
Lakewood, NJ 08701-5896
Phone (732) 576-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019552NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 23, 2023 Accepting new patients
Lakewood Resource and Referral Center Inc CurrentSince Dec 23, 2023 Accepting new patients
Urgi-Med Family Medical Center Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

108 Hillside Blvd
Lakewood, NJ 08701
Phone 73236421445370

Interoperability endpoints

  • Direct secure messaging: moshe.perlman@chemed.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1902269558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343437",
            "telephone_number": "718-644-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625",
            "telephone_number": "718-252-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "MOSHE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.