Organization Active NPI

Eugene Perlov MD PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • New York, NY
National Provider Identifier
1972872901
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
236752 Issued in NY
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

Updated by the provider on Dec 21, 2011

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)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QH0002X 236752 NY Primary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.