Individual provider Active NPI

Richard St Michael Perrin, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1932360088
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-249106 Issued in NY
Practice address
3711 88TH St
Jackson Heights, NY 11372-7630
Phone
(973) 985-3848
NPI assigned
Jun 21, 2008
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-249106 NY Primary

Addresses

Primary practice location

3711 88TH St
Jackson Heights, NY 11372-7630

Mailing address

8904 Northern Blvd
Ground Floor
Jackson Heights, NY 11372-1640
Phone (347) 808-0700

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
I20080819000651 NY Practitioner - Internal Medicine 7911072376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easy Care Queens Medical, PCGroup PAC ID 6103819081, 2 clinicians

Practice addresses (Care Compare)

3711 88TH St
Jackson Heights, NY 11372-7630
Phone (718) 446-4544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-249106NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adults Medical Care, P.C. Internal Medicine CurrentSince Dec 24, 2021 Accepting new patients
Easy Care Queens Medical, PC CurrentSince Jul 1, 2008 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Networks

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

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1932360088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 NORTHERN BLVD",
            "address_2": "GROUND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721640",
            "telephone_number": "347-808-0700",
            "fax_number": "347-808-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 88TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727630",
            "telephone_number": "973-985-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "RICHARD",
        "middle_name": "ST MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-249106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.