Active NPI
Beth Perosi
- Pharmacist
- Holmdel, NJ
National Provider Identifier
1245418409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25432
- Practice address
- 2101 Highway 35
Holmdel, NJ 07733-1085 - Phone
- (732) 671-3362
- Fax
- (732) 671-5435
- NPI assigned
- Feb 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25432 | NJ | Primary |
| Pharmacist | 183500000X | 034065-1 | NY |
Addresses
Primary practice location
2101 Highway 35
Holmdel, NJ 07733-1085
Mailing address
16 Fox Meadow LN
Holmdel, NJ 07733-2707
Phone (732) 796-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034065-1 | Other | NY | RPH LICENSE # |
| 25432 | Other | NJ | RPH LICENSE # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25432 | NJ | MD | Pharmacist |
| 034065-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202515200000",
"number": "1245418409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FOX MEADOW LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332707",
"telephone_number": "732-796-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331085",
"telephone_number": "732-671-3362",
"fax_number": "732-671-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROSI",
"first_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-09",
"last_updated": "2008-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "25432",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034065-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE #",
"identifier": "034065-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE #",
"identifier": "25432",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.