1. Home
  2. Directory
  3. New York
  4. Fort Drum
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. TANYA MONIQUE PEREZ PA
NPI 1881672350
Physician Assistant - Medical in Fort Drum, NY

Active since January 05, 2006
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tanya Monique Perez Pa NPPES

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

MS. TANYA MONIQUE PEREZ PA (NPI 1881672350) is an individual medical provider in Fort Drum, New York and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1881672350
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. TANYA MONIQUE PEREZCredential: PA
Location Address11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALSFort Drum, NY 13602-5438
Mailing Address436 Broadway Ave EWatertown, NY 13601-3828 · (315) 681-6645
Phone(315) 772-4025
Fax(315) 772-9498
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1881672350 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
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
Open in Google Maps ↗

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. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Tanya Perez's NPI number?

The NPI number for Tanya Perez is 1881672350. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Tanya Perez located?

Tanya Perez practices at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.

What is Tanya Perez's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanya Perez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.