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DR. SANIA PEREZ M.D.
NPI 1174584890
Pediatrics in Waldwick, NJ

Active since March 31, 2006PECOS Enrolled
171 FRANKLIN TPK, WALDWICK, NJ 07463(201) 612-5100(201) 612-4499 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sania Perez M.d. NPPES

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

DR. SANIA PEREZ M.D. (NPI 1174584890) is an individual pediatrics provider in Waldwick, New Jersey, licensed in New Jersey (MA08351700) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174584890
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SANIA PEREZCredential: M.D.
Location Address171 FRANKLIN TPKWaldwick, NJ 07463
Mailing Address171 Franklin TpkWaldwick, NJ 07450 · (201) 612-1500
Phone(201) 612-5100
Fax(201) 612-4499
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 15, 2010
✔ NPI 1174584890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · MA08351700✔ Licensed in NY · 221788
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
171 FRANKLIN TPK, Waldwick, NJ 07463
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sania Perez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sania Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Physician Services PC
6.5 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sania Perez's NPI number?

The NPI number for Sania Perez is 1174584890. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Sania Perez located?

Sania Perez practices at 171 Franklin Tpk, Waldwick, NJ 07463. The listed phone number is (201) 612-5100.

What is Sania Perez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sania Perez enrolled in Medicare?

Yes. Sania Perez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sania Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sania Perez reassigns Medicare benefits to Valley Physician Services PC (Paramus, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sania Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sania Perez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sania Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sania Perez was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.