Jacob Edwarde Perlson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

317638 Issued in NY

Practice address

1051 Riverside Dr
New York, NY 10032-1007

Phone

(467) 747-3616

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 6, 2025 through May 6, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1972180339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CENTRAL PARK W APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243035",
            "telephone_number": "917-970-1940",
            "fax_number": "917-970-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 RIVERSIDE DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321007",
            "telephone_number": "467-747-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLSON",
        "first_name": "JACOB",
        "middle_name": "EDWARDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "317638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Perlow, PSY.D.
• William Harold Perlow, MD
• Lexi Nicole Perlowitz, LMHC
• Mallory Perlowitz
• Tatiana Perlroth, DDS
• Marianna Perlstein
• Matthew David Perlstein, MD
• Rachel Perlstein, LCSW
• Jenna Permaul, DDS
• Perdita Permaul, M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.