Individual provider Active NPI

Patricia Dimarco Perez

  • Clinical Social Worker
  • Hoboken, NJ
National Provider Identifier
1093346561
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06140500 Issued in NJ
Practice address
258 Newark St Ste 202
Hoboken, NJ 07030-3418
Phone
(646) 541-2672
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06404700 NJ
Clinical Social Worker 1041C0700X 44SC06140500 NJ Primary

Addresses

Primary practice location

258 Newark St Ste 202
Hoboken, NJ 07030-3418

Mailing address

258 Newark St Ste 202
Hoboken, NJ 07030-3418
Phone (646) 541-2672

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

State licenses

LicenseStateTypeSpecialty
44SL06404700NJMDSocial Worker
44SC06140500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tricia Dimarco-Perez, LLC Social Worker CurrentSince Feb 9, 2020 Accepting new patients

Locations

258 Newark St
Ste 202
Hoboken, NJ 07030
Phone (646) 541-2672

Organizations & group practices 1

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1093346561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 NEWARK ST STE 202",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303418",
            "telephone_number": "646-541-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 NEWARK ST STE 202",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303418",
            "telephone_number": "646-541-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PATRICIA",
        "middle_name": "DIMARCO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06404700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06140500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.