Individual provider Active NPI

Lauren Pereles, M.S.,CCC/SLP

  • Speech-Language Pathologist
  • North Tonawanda, NY
National Provider Identifier
1356592984
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021860 Issued in NY
Practice address
1350 Ruie Rd
North Tonawanda, NY 14120-1865
Phone
(716) 807-3576
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021860 NY Primary

Addresses

Primary practice location

1350 Ruie Rd
North Tonawanda, NY 14120-1865

Mailing address

952 Hillside Dr
Lewiston, NY 14092-1824
Phone (716) 870-6259

Other identifiers 1

IdentifierTypeStateIssuer
03655841MedicaidNY

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1356592984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 HILLSIDE DR",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921824",
            "telephone_number": "716-870-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RUIE RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201865",
            "telephone_number": "716-807-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELES",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03655841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.