Individual provider Active NPI

Jasmine Perez, CD(DONA), IBCLC, CNM

  • Doula
  • Galloway, NJ
National Provider Identifier
1639446495
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
302 E Spencer LN
Galloway, NJ 08205-3256
Phone
(917) 569-6564
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 26NR14457000 NJ
Doula 374J00000X NJ Primary
Advanced Practice Midwife 367A00000X 25ME00050100 NJ

Addresses

Primary practice location

302 E Spencer LN
Galloway, NJ 08205-3256

Mailing address

302 E Spencer LN
Galloway, NJ 08205-3256
Phone (917) 569-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000024 NJ Practitioner - Certified Nurse Midwife (CNM) 5092978361 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
26NR14457000NJMDLactation Consultant (Registered Nurse)
25ME00050100NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 1, 2012 Accepting new patients
Atlanticare Physician Group CurrentSince Jan 20, 2013 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 1, 2015 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jan 20, 2013 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 1, 2015 Accepting new patients

Locations

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

377 Jersey Ave
Ste 220
Jersey City, NJ 07302
Phone (201) 309-2380

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1639446495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E SPENCER LN",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053256",
            "telephone_number": "917-569-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E SPENCER LN",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053256",
            "telephone_number": "917-569-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "CD(DONA), IBCLC, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "26NR14457000",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00050100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.