Individual provider Active NPI

Gloria J Perna, D.C

  • Chiropractor
  • Matawan, NJ
National Provider Identifier
1396815239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00419900 Issued in NJ
Practice address
1077 State Route 34
B
Matawan, NJ 07747-2162
Phone
(732) 290-2288
Fax
(732) 290-2660
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00419900 NJ Primary

Addresses

Primary practice location

1077 State Route 34
B
Matawan, NJ 07747-2162

Mailing address

1077 Hwy 34
B
Aberdeen, NJ 07747-2162
Phone (732) 290-2288

Other identifiers 3

IdentifierTypeStateIssuer
45 2002OtherNJUSH
1039636OtherNJAMERICAN SPECIALTY HEALTH
P 789383OtherNJOXFORD

Other names 1

  • Gloria J Perna Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00419900NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396815239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 HWY 34",
            "address_2": "B",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472162",
            "telephone_number": "732-290-2288",
            "fax_number": "732-290-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 STATE ROUTE 34",
            "address_2": "B",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472162",
            "telephone_number": "732-290-2288",
            "fax_number": "732-290-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "GLORIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00419900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USH",
            "identifier": "45 2002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1039636",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P 789383",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "PERNA",
            "middle_name": "J",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.