Perry Medical Group of New Jersey PA
NPI 1114595592ActiveOrganization· General Practice· New York, NY
General Practice in New York, New York, registered in NPPES in June 2021. The authorized official on file is Jennifer Harless, Director, Rcm. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1114595592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2021 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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