NPIMap

Organization Active NPI

Perez Wellness

  • Developmentally Disabled Services Day Training Agency
  • Edison, NJ
National Provider Identifier
1396389888
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PEREZ WELLNESS
Practice address
14M Reading Rd
Edison, NJ 08817-2183
Phone
(732) 510-9936
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Mrs. Roseanna PerezNPI 1366931891
Title
Owner
Phone
(732) 510-9936

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

14M Reading Rd
Edison, NJ 08817-2183

Mailing address

14M Reading Rd
Edison, NJ 08817-2183
Phone (347) 751-2806

National Provider Directory

National Provider Directory

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1396389888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14M READING RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172183",
            "telephone_number": "347-751-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14M READING RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172183",
            "telephone_number": "732-510-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROSEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-510-9936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.