Active NPI
Eugene Perlov MD PC
- Hospice and Palliative Medicine (Family Medicine) Physician
- New York, NY
National Provider Identifier
1972872901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 236752
- Legal business name
- EUGENE PERLOV MD PC
- Practice address
- 21 W Broadway
New York, NY 10007-2170 - Phone
- (917) 648-1913
- Fax
- (347) 457-3199
- NPI assigned
- Dec 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Perlov, M.D.
- Title
- President
- Phone
- (917) 648-1913
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 236752 | NY | Primary |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 236752 | NY |
Addresses
Primary practice location
21 W Broadway
New York, NY 10007-2170
Mailing address
133 W 17TH St
Apt 5C
New York, NY 10011-5448
Phone (718) 787-3150
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1972872901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W 17TH ST",
"address_2": "APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115448",
"telephone_number": "718-787-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072170",
"telephone_number": "917-648-1913",
"fax_number": "347-457-3199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE PERLOV MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "PERLOV",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-648-1913",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "236752",
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NY",
"license": "236752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.