Myrna R. Perez, CDN MPH

Primary specialty

NutritionistTaxonomy code 133N00000X

License

005983 Issued in NY

Practice address

90 Phelps Ave
Englewood, NJ 07631-4913

Phone

(201) 290-8926

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Myrna Rosa Perez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1588081079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PHELPS AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PHELPS AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314913",
            "telephone_number": "201-290-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MYRNA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "CDN MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "005983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRNA",
            "last_name": "PEREZ",
            "middle_name": "ROSA",
            "prefix": "MS.",
            "credential": "CDN MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pelvic Rehabilitation Medicine, PC
• Wen-Chiao Peng, NP
• Nicholas Peppes, MS PT
• Sabrina Joyce Pereira
• Seth Perelman, MD
• Olivania Perez
• Periodontal Associates
• Russell B Perper, D.D.S.
• Emily Jane Perrotta
• Personal Spine & Orthopaedics, LLC

• Nutritionist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.