Active NPI
Dionicio Perez
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1295032431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017056
- Practice address
- 1732 Davidson Ave
Bronx, NY 10453-7804 - Phone
- (917) 886-0285
- NPI assigned
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017056 | NY | Primary |
Addresses
Primary practice location
1732 Davidson Ave
Bronx, NY 10453-7804
Mailing address
67 Hampton Dr
Mount Bethel, PA 18343-5796
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1295032431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 HAMPTON DR",
"city": "MOUNT BETHEL",
"state": "PA",
"postal_code": "183435796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 DAVIDSON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104537804",
"telephone_number": "917-886-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DIONICIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.