SUJELIS PEREZ (PA-C) – Physician Assistant, NPI 1104250307
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for SUJELIS PEREZ (PA-C)
PO BOX 399
CHESTER, NJ 079300399
Phone: (973) 571-2121
Fax: (973) 498-0569
Type: Mailing
347 MOUNT PLEASANT AVE
SUITE 103
WEST ORANGE, NJ 070522744
Phone: (973) 571-2121
Fax: (973) 498-0569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $1,841.
Total Amount is formed as General ($1,841) + Research ($0) + Ownership ($0) = $1,841.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($224).
Total Amount
$1,841
General + Research + Ownership
Payments
121
Total payment records
General Amount
$1,841
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $224 |
| Amgen Inc. | $187 |
| ABBVIE INC. | $166 |
| Janssen Biotech, Inc. | $152 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $98 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140422000127 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,723 | 274 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 641 | 398 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 508 | 305 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 213 | 168 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 208 | 120 | $0 |
Insurance plans in this area (ZIP 07930)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NJ | 17003 | Destruction of 2-14 skin growths | 729 | 124 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | NY | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | NJ | |
| - | NJ | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | NJ |
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