Active NPI
David Perez, CAP
- Addiction (Substance Use Disorder) Counselor
- Buffalo, NY
National Provider Identifier
1942321831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5178
- Practice address
- 1280 Main St
3Rd Floor
Buffalo, NY 14209-1912 - Phone
- (716) 831-1251
- Fax
- (716) 831-1271
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5178 | FL | Primary |
Addresses
Primary practice location
1280 Main St
3Rd Floor
Buffalo, NY 14209-1912
Mailing address
3800 5TH St
Saint Cloud, FL 34769-2024
Phone (407) 892-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5178 | FL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1942321831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 5TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347692024",
"telephone_number": "407-892-5700",
"fax_number": "407-593-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 MAIN ST",
"address_2": "3RD FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091912",
"telephone_number": "716-831-1251",
"fax_number": "716-831-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DAVID",
"credential": "CAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "5178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.