Carmen Perez, APN
Individual provider Active NPI Internal Medicine Physician · Beachwood, NJ
NPI 1528070695 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1528070695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 26NJ00017800 (NJ)
- Practice address
- 137 Atlantic City Blvd
Beachwood, NJ 08722-2935 - Phone
- (732) 244-8666
- Fax
- (732) 244-0046
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060111000172 | NJ | Practitioner - Nurse Practitioner | 6406879980 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 26NJ00017800 | NJ | Yes |
Addresses
Primary practice location
137 Atlantic City Blvd
Beachwood, NJ 08722-2935
Mailing address
137 Atlantic City Blvd
Beachwood, NJ 08722-2935
Phone (732) 244-8666
Other providers in Beachwood, NJ
- Nicola M McCann
- National Mentor Healthcare, LLC
- New Jersey CVS Pharmacy LLC
- Maria Owens
- Pedorthic Concepts Inc
- Sara Petersen
- Poane Counseling Services, LLC.
- Christine Poane
- Pollack Health and Wellness 2 PA
- Pollack Health and Wellness, Inc
All providers in Beachwood, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.