| Jose M Soto-perello, Md Corporation | |
|
516 51st St West New York NJ 07093-5553 | |
| (201) 864-4897 | |
| (201) 864-4871 |
| Full Name | Jose M Soto-perello, Md Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 516 51st St, West New York, New Jersey |
| Authorized Official Name and Position | Jose M Soto-perello (PRESIDENT) |
| Authorized Official Contact | 2018644897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Soto-perello, Md Corporation 516 51st St West New York NJ 07093-5553 Ph: (201) 864-4897 | Jose M Soto-perello, Md Corporation 516 51st St West New York NJ 07093-5553 Ph: (201) 864-4897 |
| NPI Number | 1013123702 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/21/2013 |
| Medicare PECOS PAC ID | 2264476845 |
|---|---|
| Medicare Enrollment ID | O20050614001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013123702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA07018100 (New Jersey) | Primary |
| Provider Name | Jose M Soto-perello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801842398 PECOS PAC ID: 9032107941 Enrollment ID: I20040909000088 |
| Provider Name | Yissell Delvalle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750585709 PECOS PAC ID: 8325131402 Enrollment ID: I20070905000682 |
| Provider Name | Omayra Ortiz |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1124068853 PECOS PAC ID: 3476573510 Enrollment ID: I20131011001556 |
| Provider Name | Caroline E Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508200098 PECOS PAC ID: 5597035931 Enrollment ID: I20170718003002 |
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