Active NPI
Reina Perl, BC-PNP, IBCLC, RN
- Lactation Consultant (Registered Nurse)
- New York, NY
National Provider Identifier
1336596402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 42014
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 42014 | NY | MD | Lactation Consultant (Registered Nurse) |
| 382673 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonia Gidwani, MD, PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- New York, NY
- NPI 1659672087
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.