Active NPI
Joanne C. Peranio, M.D., P.a.
- Psychiatry Physician
- Wyckoff, NJ
National Provider Identifier
1740467893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA55545
- Legal business name
- JOANNE C. PERANIO, M.D., P.A.
- Practice address
- 393 Crescent Ave
Wyckoff, NJ 07481-2820 - Phone
- (201) 891-6050
- Fax
- (201) 891-4940
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan C. Smith
- Title
- Business Administrator
- Phone
- (201) 848-8250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA55545 | NJ | Primary |
Addresses
Primary practice location
393 Crescent Ave
Wyckoff, NJ 07481-2820
Mailing address
PO Box 129
Wyckoff, NJ 07481-0129
Phone (201) 891-6050
National Provider Directory
National Provider DirectoryLocations
393 Crescent Ave
Wyckoff, NJ 07481
Phone (201) 891-6050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Wyckoff, NJ
- NPI 1063744464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1740467893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074810129",
"telephone_number": "201-891-6050",
"fax_number": "201-891-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 CRESCENT AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812820",
"telephone_number": "201-891-6050",
"fax_number": "201-891-4940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNE C. PERANIO, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "201-848-8250",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA55545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.