Juana Perez, REV.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

TTC-IIII-07-30-2013 Issued in PR

Practice address

307 Monroe St FL 2
Passaic, NJ 07055-5207

Phone

(973) 510-5465

NPI assigned

May 28, 2019

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

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1609433382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MONROE ST FL 2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555207",
            "telephone_number": "973-510-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MONROE ST FL 2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555207",
            "telephone_number": "973-510-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JUANA",
        "credential": "REV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "PR",
            "license": "TTC-IIII-07-30-2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Pena, MA, LPC
• Pennington Radiology Associates LLC
• Josmay Y Perez-Delacruz
• Karla Jose Perez-Goldberg, DDS
• Clidia Milda Perez, D.D.S.
• Maritza Perez
• Tara Perez, BCBA, TOH
• Perinatal Associates LLC
• Karina Pesah, LCSW
• Wayne Andrew Petermann, D.C.

• Pastoral Counselor in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Pastoral Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.