Marlene Vivian Perez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

743492 Issued in NY

Practice address

630 Flushing Ave FL 2
Brooklyn, NY 11206-5026

Phone

(718) 828-2666

NPI assigned

Jan 14, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1225546112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MADISON AVE APT 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291038",
            "telephone_number": "646-377-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FLUSHING AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065026",
            "telephone_number": "718-828-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARLENE",
        "middle_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "743492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Perez, LMSW
• Lori Perez, PH.D.
• Manuel Perez
• Maria Grace Perez, P.T.
• Mariela Perez
• Marllory Perez, LMSW
• Martha Ann Perez, LCSW-R
• Mayra Perez
• Michele Annette Perez
• Michelle Perez

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.