Susan Dara Perel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034845 Issued in NY

Practice address

27 New Dorp LN
Staten Island, NY 10306-2322

Phone

(718) 667-3597

Fax

(718) 667-3590

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1194769364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 TODT HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041327",
            "telephone_number": "718-667-3800",
            "fax_number": "718-980-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062322",
            "telephone_number": "718-667-3597",
            "fax_number": "718-667-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREL",
        "first_name": "SUSAN",
        "middle_name": "DARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmela Percontra, RN, MS, CLT
• Athanassios Perdios, M.D.
• Valeriya Perebeynos
• Leonid Perederey, PHARMD.
• Allan B Perel, M.D.
• Leo P Perelman, LMT
• Nicole Zoya Pereplyotchik
• Kanthi Perera
• Philip Perera, LMSW
• Prashan Perera, RN

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.