Active NPI
Perel Plutchok, MA, SLP, CF
- Speech-Language Pathologist
- Lakewood, NJ
National Provider Identifier
1083108005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TL-3070
- Practice address
- 7 Bridgewood Ave
Lakewood, NJ 08701-4749 - Phone
- (732) 730-7850
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TL-3070 | NJ | Primary |
Addresses
Primary practice location
7 Bridgewood Ave
Lakewood, NJ 08701-4749
Mailing address
123 14TH St
Lakewood, NJ 08701-1831
Phone (347) 277-6025
Other practice location 1
40 Park Ave S
Lakewood, NJ 08701
Phone (732) 364-8796
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL-3070 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1083108005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 14TH ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011831",
"telephone_number": "347-277-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BRIDGEWOOD AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014749",
"telephone_number": "732-730-7850"
}
],
"practiceLocations": [
{
"address_1": "40 Park Ave S",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "NJ",
"postal_code": "08701",
"country_code": "US",
"telephone_number": "732-364-8796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLUTCHOK",
"first_name": "PEREL",
"credential": "MA, SLP, CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "TL-3070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.