Amanda Rose Peraino, MA, ED.M

Primary specialty

SpecialistTaxonomy code 174400000X

License

770434131 Issued in NY

Practice address

17 Stonefield Road
Glen Rock, NJ 07452

Phone

(551) 427-0867

NPI assigned

Aug 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiana Care Health Services, Inc

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1134104565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1003215336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STONEFIELD ROAD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STONEFIELD ROAD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452",
            "telephone_number": "551-427-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAINO",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "MA, ED.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "770434131",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "330594091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujal P Patel, MD
• Vishnu G Patel, PHARMD
• Patient Care Solutions Inc
• Alexander Pedicone, LCSW
• Holly C Pedicone, LCSW
• Philip J. Aretsky, MD PA
• Playhouse Therapy PA
• Plus Acupuncture & Herbs LLC
• Phillip John Polentarutti, DPT
• Tara Porfido, DPT

• Specialist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.