Individual provider Active NPI

Lawrence Joseph Perfetti, ED.D.

  • Psychologist
  • Highland Park, NJ
National Provider Identifier
1629258983
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI1555 Issued in NJ
Practice address
85 Raritan Ave
Suite 400
Highland Park, NJ 08904-2439
Phone
(732) 247-4447
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI1555 NJ Primary

Addresses

Primary practice location

85 Raritan Ave
Suite 400
Highland Park, NJ 08904-2439

Mailing address

85 Raritan Ave
Suite 400
Highland Park, NJ 08904-2439
Phone (732) 247-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI1555NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1629258983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RARITAN AVE",
            "address_2": "SUITE 400",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042439",
            "telephone_number": "732-247-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RARITAN AVE",
            "address_2": "SUITE 400",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042439",
            "telephone_number": "732-247-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERFETTI",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.