NPIMap

Organization Active NPI

Performex Pediatric Services

  • Occupational Therapist
  • Fair Lawn, NJ
National Provider Identifier
1346901253
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PERFORMEX PEDIATRIC SERVICES
Practice address
12-28 River Rd
Fair Lawn, NJ 07410-1489
Phone
(201) 314-3396
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mariela Arcentales, MS, OTR/LNPI 1124640990
Title
Occupational Therapist
Phone
(201) 314-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

12-28 River Rd
Fair Lawn, NJ 07410-1489

Mailing address

12-28 River Rd
Fair Lawn, NJ 07410-1489
Phone (201) 314-3396

Other names 1

  • Performex Pediatric Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariea@performexpediatrics.com Direct

National Provider Directory

National Provider Directory

Locations

12-28 River Rd
Fair Lawn, NJ 07410
Phone (201) 314-3396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1346901253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-28 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101489",
            "telephone_number": "201-314-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-28 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101489",
            "telephone_number": "201-314-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMEX PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ARCENTALES",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-314-3396",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariea@performexpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12-28 River Rd",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074101489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Performex Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.