Jaclyn Perna, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00218700 Issued in NJ

Practice address

417 Main St
Chatham, NJ 07928-2105

Phone

(973) 635-5050

Fax

(973) 635-4567

NPI assigned

Jul 23, 2009

Last updated

Jan 3, 2024By the provider in NPPES

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

Other names 1

• Jaclyn Cocchiola Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Laser and Skin Therapeutics PCGroup PAC ID 9234224874, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jperna@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laser & Skin Therapeutics PC

  • Dermatology Physician
  • Chatham, NJ
  • NPI 1912191230
  Medicare reassignment Care Compare group
• Chatham Chiropractic Center

  • Chiropractor
  • Chatham, NJ
  • NPI 1003961244
  NPD (past)
• Princeton Dermatology Associates Kendall Parkpc

  • Dermatology Physician
  • Somerset, NJ
  • NPI 1770540890
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1629208715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 STATE ROUTE 27",
            "address_2": "NORTH BRUNSWICK",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021300",
            "telephone_number": "732-297-8866",
            "fax_number": "732-821-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282105",
            "telephone_number": "973-635-5050",
            "fax_number": "973-635-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "JACLYN",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00218700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "COCCHIOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reshma C Patel, LCSW
• Rajiv Patni, M.D.
• Peak Physical Therapy, LLC
• Pediatric Speech-Language Therapy, PC
• Stanton Peele, PH.D.
• Maria Perry, PHD
• Ellen McPeak Pierson, PSY.D.
• Jennifer T. Pilley, M.S., CCC-SLP
• Jillian Ruth Pincus, M.D.
• Ashley Marie Pires, LCSW

• Physician Assistant in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.