Active NPI
David Perez-Herranz, P.T.
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030017-1
- Practice address
- 9920 4TH Ave
Suite 102
Brooklyn, NY 11209-8333 - Phone
- (718) 238-9873
- Fax
- (718) 238-9359
- NPI assigned
- Jan 24, 2008
- Last updated
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02028700 | NJ | |
| Physical Therapist | 225100000X | 030017-1 | NY | Primary |
Addresses
Primary practice location
9920 4TH Ave
Suite 102
Brooklyn, NY 11209-8333
Mailing address
981 Rte 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141
Other practice location 1
100 Town Square Pl Ste 403
Jersey City, NJ 07310-2778
Phone (201) 702-8420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02028700 | NJ | MD | Physical Therapist |
| 030017-1 | NY | MD | Physical Therapist |
| 030017 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
100 Town Square Pl
Ste 403
Jersey City, NJ 07310
Phone (201) 702-8420
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
884 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 244-7004
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
135 E Erie St
Blauvelt, NY 10913
Phone (845) 680-2673
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
201 E 21st St
Apt 1B
New York, NY 10010
Phone (212) 353-5029
1243 Woodrow Rd
Ste 321
Staten Island, NY 10309
1243 Woodrow Rd
Ste 323
Staten Island, NY 10309
Phone (718) 966-0111
31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1932386729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 RTE 22 FL 2",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072946",
"telephone_number": "201-801-7141",
"fax_number": "732-218-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 4TH AVE",
"address_2": "SUITE 102",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098333",
"telephone_number": "718-238-9873",
"fax_number": "718-238-9359"
}
],
"practiceLocations": [
{
"address_1": "100 Town Square Pl Ste 403",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073102778",
"country_code": "US",
"telephone_number": "201-702-8420",
"fax_number": "201-702-8430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ-HERRANZ",
"first_name": "DAVID",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02028700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030017-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.