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
- Last updated
- Oct 31, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.