Active NPI
Marinelly Perez
- Professional Counselor
- Bronx, NY
National Provider Identifier
1437519980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3600 Jerome Ave
Bronx, NY 10467-1052 - Phone
- (718) 881-7600
- NPI assigned
- Feb 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3600 Jerome Ave
Bronx, NY 10467-1052
Mailing address
579 Courtland Avenue
Bronx, NY 10451
Phone (718) 485-2100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1437519980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 COURTLAND AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-485-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671052",
"telephone_number": "718-881-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARINELLY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2021-06-30",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.