Provider Demographics
NPI:1477512432
Name:PEREIRA, PEDRO MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:MIGUEL
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 POST RD
Mailing Address - Street 2:SUITE D7
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1618
Mailing Address - Country:US
Mailing Address - Phone:201-337-1700
Mailing Address - Fax:201-337-1703
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:SUITE D7
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-337-1700
Practice Address - Fax:201-337-1703
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06772300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8107009Medicaid
NJH08086Medicare UPIN
NJ034276Medicare ID - Type Unspecified