EDWIN PEREZ (NPI# 1649312794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649312794 |
| Entity Type | Individual |
| Full Name | EDWIN PEREZ |
| Other Name | DR. FANNE GOODMAN |
| Practice Address |
629 W 185th St New York NY 10033-3102 |
| Practice Telephone | 2129270999 |
| Practice Fax Number | 2127950470 |
| Mailing Telephone | 2129270999 |
| Mailing Fax Number | 2127950470 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 027346 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02682915 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922405539 | Edwin Geordy Perez | General Practice | C/4 A-17, Urb. Santa Paula, Guaynabo, PR 00969-4606 | 2014-11-25 |
| 1811313794 | Edwin Perez | Counselor | 930 N Major Ave, Henderson, NV 89015-5735 | 2014-03-14 |
| 1730340902 | Edwin Perez | Anesthesiology | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2008-06-20 |
| 1376587816 | Edwin A. Perez | Psychiatry & Neurology | 3739 E. Maffeo Rd., Phoenix, AZ 85050-8342 | 2006-06-15 |
| 1881294734 | Edwin Perez | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-10-29 |
| 1033516521 | Edwin Perez Jr. | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2014-11-26 |
| 1740400811 | Edwin Perez | Pediatrics | Apartado 515, Naranjito, PR 00719 | 2007-04-30 |
| Street Address |
629 W 185TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865320 | Jose L. Deleon | Podiatrist | 629 W 185th St, 3rd Floor, New York, NY 10033-3102 | 2005-07-14 |
| 1811409873 | Lucy C Villa-tineo | Durable Medical Equipment & Medical Supplies | 629 W 185th St, New York, NY 10033-3102 | 2017-10-31 |
| 1437661493 | Orthobody Medical Equipment, Inc | Prosthetic/Orthotic Supplier | 629 W 185th St, New York, NY 10033-3102 | 2017-10-31 |
| 1396265104 | Snys Physical Therapy LLC. | Early Intervention Provider Agency | 629 W 185th St, New York, NY 10033-3102 | 2017-06-22 |
| 1275919656 | Great Smile Dental Services PC | Durable Medical Equipment & Medical Supplies | 629 W 185th St, 4th Floor, New York, NY 10033-3102 | 2015-08-07 |
| 1558765693 | Hye Chung Park | Pharmacist | 629 W 185th St, New York, NY 10033-3102 | 2014-10-17 |
| 1467880492 | Candida Cartagena | Counselor | 629 W 185th St, 3rd Floor, New York, NY 10033-3102 | 2013-10-30 |
| 1659621910 | Snys Physical Therapy LLC | Clinic/Center | 629 W 185th St, New York, NY 10033-3102 | 2012-09-14 |
| 1598013872 | Isabel Scanlon | Nurse Practitioner | 629 W 185th St, New York, NY 10033-3102 | 2012-08-17 |
| 1245597608 | Shashonna Janeen Dupree | Podiatrist | 629 W 185th St, 3rd Floor, New York, NY 10033-3102 | 2012-04-23 |
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|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
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| 1306468921 | Omar Adnan Ahmed Bekhit Elsayed | Pharmacist | 255 Audubon Ave Apt 2b, New York, NY 10033-7344 | 2020-05-18 |
| 1235750118 | Jessie Cheong | Pharmacist | 400 Broadway Bsmt Pharmacy, New York, NY 10013-3698 | 2020-05-01 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1184253031 | Felicia Kelly Berben | Pharmacist | 900 Broadway Ste 706a, New York, NY 10003-1210 | 2020-04-03 |
| 1700419900 | Amanda Mai | Pharmacist | 53 Elizabeth St # 1b, New York, NY 10013-4617 | 2020-02-16 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1083251144 | Lyndon A Johnson Jr. | Pharmacist | 525 E 68th St Ste F-01170, New York, NY 10065-4870 | 2019-12-06 |
| 1245875103 | Ashley Jiang | Pharmacist | 13 Eldridge St # Sta, New York, NY 10002-6217 | 2019-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.