Audrey P Pereira, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA065845 Issued in NJ

Practice address

317 George St
Primary Care - Vamc
New Brunswick, NJ 08901-2008

Phone

(732) 729-9555

Fax

(732) 729-0683

NPI assigned

Jul 27, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922022516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TOWER PL",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231023",
            "telephone_number": "908-410-7422",
            "fax_number": "732-729-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "address_2": "PRIMARY CARE - VAMC",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-729-9555",
            "fax_number": "732-729-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "AUDREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA065845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAE LICENCE NUMBER",
            "identifier": "MA 065845",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pennacchi
• Anthony Pennito, MD
• Matthew Philip Pepper, M.D.
• Roberto Peralta
• Shruthi Reddy Perati
• Alexis Perez
• Bridgette Perez, LCSW
• Julissa H Perez, LCSW
• Payel Merium Peris, DMD
• John Anthony Perrone, DO

• Internal Medicine Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.