Individual provider Active NPI

Ganesha G Perumal, MS SLP-CCC

  • Speech-Language Pathologist
  • Pennington, NJ
National Provider Identifier
1023218633
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00349400 Issued in NJ
Practice address
412 Pebble Creek CT
Pennington, NJ 08534-1945
Phone
(609) 737-1345
NPI assigned
Jul 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00349400 NJ Primary

Addresses

Primary practice location

412 Pebble Creek CT
Pennington, NJ 08534-1945

Mailing address

412 Pebble Creek CT
Pennington, NJ 08534-1945
Phone (609) 737-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00349400NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Rehab Services LLC PastSince Feb 10, 2010 Accepting new patients
Onsiterehab Services, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1023218633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PEBBLE CREEK CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341945",
            "telephone_number": "609-737-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PEBBLE CREEK CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341945",
            "telephone_number": "609-737-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUMAL",
        "first_name": "GANESHA",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MS SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00349400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; 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.