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MS. MARINA PERINCHERIL PA-C
NPI 1053671966
Physician Assistant - Medical in Bronx, NY

Active since May 24, 2012PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-2869 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Marina Perincheril Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARINA PERINCHERIL PA-C (NPI 1053671966) is an individual medical provider in Bronx, New York, licensed in New York (015555) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2011).

NPPES Registry Identity

NPI1053671966
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARINA PERINCHERILCredential: PA-C
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(718) 920-2869
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateMay 24, 2012
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1053671966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 015555
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marina Perincheril Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416179866
PECOS Enrollment IDI20260506003003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Perincheril's NPI number?

The NPI number for Marina Perincheril is 1053671966. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Marina Perincheril located?

Marina Perincheril practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-2869.

What is Marina Perincheril's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marina Perincheril enrolled in Medicare?

Yes. Marina Perincheril is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marina Perincheril was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.