Individual provider Active NPI

Eileen Louise Perry, N.P.

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1942483649
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420862 Issued in NY
Practice address
327 Central Park W
New York, NY 10025-7631
Phone
(212) 663-6604
Fax
(212) 663-7259
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 577092 NY
Women's Health Nurse Practitioner 363LW0102X F420862 NY Primary

Addresses

Primary practice location

327 Central Park W
New York, NY 10025-7631

Mailing address

327 Central Park W
New York, NY 10025-7631
Phone (212) 663-6604

Other names 1

  • Eileen Louise Tehan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928000124 NY Practitioner - Nurse Practitioner 1254628761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians

Practice addresses (Care Compare)

877 Stewart Ave
Suite 9
Garden City, NY 11530-4803
Phone (516) 683-6800

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
88.76
Promoting interoperability
100
Improvement activities
40
Cost
69.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
577092NYMDRegistered Nurse
F420862NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP CurrentSince Jun 1, 2020 Accepting new patients
St.Uke's - West Care Medical Associates Past Accepting new patients

Locations

877 Stewart Ave
Ste 9
Garden City, NY 11530
Phone (516) 222-1383

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

900 Merchants Concourse
Ste 216
Westbury, NY 11590
Phone (516) 565-6322

Interoperability endpoints

  • Direct secure messaging: eileen.perry.1@15987.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1942483649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257631",
            "telephone_number": "212-663-6604",
            "fax_number": "212-663-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257631",
            "telephone_number": "212-663-6604",
            "fax_number": "212-663-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "EILEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "577092",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "TEHAN",
            "middle_name": "LOUISE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.