Organization Active NPI

Joanne C. Peranio, M.D., P.a.

  • Psychiatry Physician
  • Wyckoff, NJ
National Provider Identifier
1740467893
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA55545 Issued in NJ
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

Updated by the provider on Jan 30, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.