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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PERRY MEDICAL GROUP OF NEW JERSEY PA
NPI 1114595592
General Practice in New York, NY

Active since June 14, 2021
169 MADISON AVE STE 90030, NEW YORK, NY 10016(978) 850-3914(646) 365-0517 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Dec 13, 2022, Jun 17, 2021 (3 updates tracked since 2021).

About Perry Medical Group Of New Jersey Pa NPPES

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

PERRY MEDICAL GROUP OF NEW JERSEY PA (NPI 1114595592) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since June 2021. The organization lists Jennifer Harless, Director, Rcm, as its authorized official.

NPPES Registry Identity

NPI1114595592
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePERRY MEDICAL GROUP OF NEW JERSEY PA
Location Address169 MADISON AVE STE 90030New York, NY 10016-5101
Mailing Address169 Madison Ave Ste 90030New York, NY 10016-5101 · (978) 850-3914 · Fax (646) 365-0517
Phone(978) 850-3914
Fax(646) 365-0517
Organization SubpartNo
Authorized OfficialJennifer HarlessDirector, Rcm · (508) 494-8275
Enumeration DateJune 14, 2021
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1114595592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

169 MADISON AVE STE 90030, New York, NY 10016
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PERRY MEDICAL GROUP OF FLORIDA PA
General Practice
169 MADISON AVE STE 90030
NEW YORK, NY 10016
New York County (978) 850-3914
NEW YORK REMOTE MEDICAL PC
General Practice
169 MADISON AVE STE 90030
NEW YORK, NY 10016
New York County (978) 850-3914

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 Perry Medical Group Of New Jersey PA's NPI number?

The NPI number for Perry Medical Group Of New Jersey PA is 1114595592. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Perry Medical Group Of New Jersey PA located?

Perry Medical Group Of New Jersey PA is located at 169 Madison Ave Ste 90030, New York, NY 10016. The listed phone number is (978) 850-3914.

What is Perry Medical Group Of New Jersey PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Perry Medical Group Of New Jersey PA was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.