Individual provider Active NPI

Jaquelline Perlman, M.D.

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1922186964
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
206491 Issued in NY
Practice address
97 Amity St
Brooklyn, NY 11201-6004
Phone
(718) 855-9055
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 206491 NY Primary

Addresses

Primary practice location

97 Amity St
Brooklyn, NY 11201-6004

Mailing address

97 Amity St
Brooklyn, NY 11201-6004

Other identifiers 1

IdentifierTypeStateIssuer
02064226MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jperlman247423@nyumc.direct-ci.com

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
I20091031000058 NY Practitioner - Obstetrics/Gynecology 4981741485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

97 Amity St
Brooklyn, NY 11201-6004
Phone (212) 598-6784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2018 Accepting new patients
New York University CurrentSince Apr 1, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC OB-GYN Faculty Practice Plan CurrentSince May 9, 2015 Accepting new patients
Weill Medical College of Cornell Gynecology Past Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients

Locations

97 Amity St
Brooklyn, NY 11201
Phone (718) 780-1025

70 Atlantic Ave
Fl 2
Brooklyn, NY 11201
Phone (929) 455-2500

186 Joralemon St
Fl 11
Brooklyn, NY 11201
Phone (646) 962-4600

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

186 Joralemon St
Fl 8
Brooklyn Heights, NY 11201
Phone (718) 596-5050

186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jperlman247423@nyumc.direct-ci.com
  • Direct secure messaging: jaquellineperlman@mai.allscriptsdirect.net

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1922186964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-855-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "JAQUELLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "206491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064226",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jperlman247423@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "97 Amity St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112016004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.