Active NPI
David J Peregmon, OTR
- Hand Occupational Therapist
- Pennsville, NJ
National Provider Identifier
1659431880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 46TR00323700
- Practice address
- 269 N Broadway
Pennsville, NJ 08070-1201 - Phone
- (856) 678-5484
- NPI assigned
- Dec 11, 2006
- Last updated
- Nov 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 46TR00323700 | NJ | Primary |
Addresses
Primary practice location
269 N Broadway
Pennsville, NJ 08070-1201
Mailing address
269 N Broadway
Pennsville, NJ 08070-1201
Phone (856) 678-5484
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00323700 | NJ | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1659431880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 N BROADWAY",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080701201",
"telephone_number": "856-678-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 N BROADWAY",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080701201",
"telephone_number": "856-678-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREGMON",
"first_name": "DAVID",
"middle_name": "J",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NJ",
"license": "46TR00323700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsville, NJ
- Pennscarerx Pharma Inc (Pennscare Family Pharmacy)
- Pennsville Al, LLC (The Addison of Lindsay Place)
- Pennsville Medical Imaging
- Pennsville Radiology Inc.
- Pennsville School District
- John G Petersen, RPH
- Pinnacle Treatment Centers NJ III LLC (Pennsville Treatment Services)
- Pinnacle Treatment Centers NJ-III LLC (Pennsville Treatment Services)
- Danielle Cristin Plum, RPH
- Popeck Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.