Kathleen L Perez, RTT

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

642755 Issued in NJ

Practice address

505 Omni Dr
Hillsborough, NJ 08844-4528

Phone

(908) 262-2186

NPI assigned

Jan 16, 2019

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

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1609340363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 16TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075081826",
            "telephone_number": "973-931-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444528",
            "telephone_number": "908-262-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "RTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "642755",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "NJ",
            "license": "642755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kperez@skincureoncology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 Omni Dr",
            "city": "Hillsborough",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088444528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Pawlowski, LCSW
• Monique Pearlman, M.S.W., L.S.W.
• George Pellegrino, MD, PHD
• Michael Pellegrino
• Nikita Girish Pendse, PA-C
• Marissa Perez
• Perfect Formation Physical Therapy (Perform PT)
• Performance Medical Group of Hillsborough LLC
• John B Peterson, DMD
• Christina Petrelis

• Radiologic Technologist in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Radiologic Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.