Jessica Marques Pereira, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02812000 Issued in NJ

Practice address

205 Ridgedale Ave # 104
Florham Park, NJ 07932-1349

Phone

(973) 377-2222

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1497360358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE # 104",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE # 104",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JESSICA",
        "middle_name": "MARQUES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02812000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02812000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Paul, MD
• Arthur F Paulina Jr., MD
• Eva Payano-Rivera, LCSW
• Bradley Peltzer, M.D.
• Pelvic Rehabilitation Medicine, PC (Pelvic Rehabilitation Medicine)
• Prek Pergjokaj
• Tyler Peterson, LCSW
• Nina Marie Petrillo
• Roman Petrocelli, MA
• Shannon Laura Piazza, LSW

• Dentist in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.