Joanna C Perris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05320600 Issued in NJ

Practice address

324 Belleville Avenue
#31
Bloomfield, NJ 07003

Phone

(917) 767-1730

NPI assigned

Aug 20, 2008

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1780831834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BELLEVILLE AVE",
            "address_2": "#31",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033652",
            "telephone_number": "917-767-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BELLEVILLE AVENUE",
            "address_2": "#31",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "917-767-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIS",
        "first_name": "JOANNA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05320600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisaac Perez Gonzalez
• Christina Perez-Francisco
• Dylan Matthew Perez, PT, DPT
• Jose Perez, MA, LMFT
• Matthew Yong Min Perez
• Nadina Persaud, MA, LAC
• Personal Counseling, P.C.
• Personal Touch Home Care of NJ, Inc.
• Christa Dellanno Pescatore, DC
• Louis J. Petracca, M.D.

• Clinical Social Worker in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.