Kayla R Perez, LAT, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

25MT00281800 Issued in NJ

Practice address

90 Rugby Rd
Cedar Grove, NJ 07009-1707

Phone

(732) 965-4714

NPI assigned

Dec 5, 2022

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

Electronic endpoints 1

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1508576182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SANFORD AVE",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301343",
            "telephone_number": "732-965-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RUGBY RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091707",
            "telephone_number": "732-965-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KAYLA",
        "middle_name": "R",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MT00281800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "perez.kayla@cgschools.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "90 Rugby Rd",
            "city": "Cedar Grove",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070091707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ilesh Patel
• Manesh Paul
• Pediatric Therapy Center of NJ LLC
• Jeanice Pelaez, COTA/L
• Matthew James Peluso, D.M.D., M.S.
• Marcia Perez
• Maria Noreen Perez
• Tiara Perkins, FNP-C
• Peter Barnett & Howard J Phillips
• Jeanne Pettoni

• Sports Medicine (Emergency Medicine) Physician in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Sports Medicine (Emergency Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.