Brielle Peters

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01220700 Issued in NJ

Practice address

1129 Bloomfield Ave Ste 220
West Caldwell, NJ 07006-7123

Phone

(973) 244-2448

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1477397453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VAN RIPER AVE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 220",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123",
            "telephone_number": "973-244-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01220700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision
• Gina Pecora, AGACNP-BC
• Pediatric Associates of West Essex, P.a.
• Gabriela G Perez, BCBA
• Lisa Perlmutter, ARNP
• Stephanie Rosemarie Pittaro
• Meghan K Potopowicz, R.D.
• Pradip S. Shah, M.D.
• Primary Care Partners LLC (Pediatric Associates of West Essex-Primary Care Partners Affiliate)
• Prime Health Medical LLC.

• Speech-Language Pathologist in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.