Individual provider Active NPI

Reina Perl, BC-PNP, IBCLC, RN

  • Lactation Consultant (Registered Nurse)
  • New York, NY
National Provider Identifier
1336596402
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
42014 Issued in NY
Practice address
600 Columbus Ave
Apt 4H
New York, NY 10024-1400
Phone
(908) 208-7386
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 42014 NY Primary
Pediatric Nurse Practitioner 363LP0200X 382673 NY

Addresses

Primary practice location

600 Columbus Ave
Apt 4H
New York, NY 10024-1400

Mailing address

600 Columbus Ave
Apt 4H
New York, NY 10024-1400
Phone (908) 208-7386

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
42014NYMDLactation Consultant (Registered Nurse)
382673NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia Gidwani, MD, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: reina.perl.1@20033.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1336596402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COLUMBUS AVE",
            "address_2": "APT 4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241400",
            "telephone_number": "908-208-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COLUMBUS AVE",
            "address_2": "APT 4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241400",
            "telephone_number": "908-208-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERL",
        "first_name": "REINA",
        "name_prefix": "Mrs.",
        "credential": "BC-PNP, IBCLC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "42014",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.