Individual provider Active NPI

Irene Perloff, D.O., M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1982699773
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216435 Issued in NY
Practice address
2626 E 14TH St
Suite 204
Brooklyn, NY 11235-3966
Phone
(718) 513-1400
Fax
(718) 517-2524
NPI assigned
Sep 17, 2005
Reactivated
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216435 NY Primary

Addresses

Primary practice location

2626 E 14TH St
Suite 204
Brooklyn, NY 11235-3966

Mailing address

2626 E 14TH St
Suite 204
Brooklyn, NY 11235-3966
Phone (718) 513-1400

Other identifiers 1

IdentifierTypeStateIssuer
02176245MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040605000288 NY Practitioner - Internal Medicine 0244212942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2626 E 14TH St
Suite 204
Brooklyn, NY 11235-3966
Phone (718) 513-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216435NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perloff Medical PC CurrentSince Nov 19, 2001 Accepting new patients
Asloyan Medical PC PastSince Feb 6, 2014 Accepting new patients

Locations

2626 E 14th St
Ste 204
Brooklyn, NY 11235
Phone (718) 513-1400

2626 E 14th St
Ste 104
Brooklyn, NY 11235
Phone (718) 368-0500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: irene.perloff.1@15481.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDFBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1982699773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST",
            "address_2": "SUITE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353966",
            "telephone_number": "718-513-1400",
            "fax_number": "718-517-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST",
            "address_2": "SUITE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353966",
            "telephone_number": "718-513-1400",
            "fax_number": "718-517-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOFF",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.O., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-17",
        "last_updated": "2017-04-07",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.