Interval Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05720200 Issued in NJ

Legal business name

INTERVAL HEALTH LLC

Practice address

476 South Ave E
Cranford, NJ 07016-3204

Phone

(973) 337-0586

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Perera, LCSWNPI 1326343609

Title

Member

Phone

(973) 337-0586

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Perera, LCSW

  • Clinical Social Worker
  • Springfield, NJ
  • NPI 1326343609
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1174013262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079020014",
            "telephone_number": "973-337-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 SOUTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163204",
            "telephone_number": "973-337-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Nassau St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085424509",
            "country_code": "US",
            "telephone_number": "973-337-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-337-0586",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05720200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Ignall, PT, DPT
• Michael Angelo Imbriano, DO
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• Harrison O Iredia, APN
• Amna Ismail
• Ivyrehab Network, Inc.
• Cheryl Jacko, LPC, ACS, NCC
• Allison E Janisch, RD

• Clinical Social Worker in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.