Active NPI
Wilfred Jagoriles Perono, P.T.
- Physical Therapist
- Brick, NJ
National Provider Identifier
1821352741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00864500
- Practice address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - Phone
- (732) 836-4614
- NPI assigned
- Jun 25, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00864500 | NJ | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Brick, NJ 08724-7732
Mailing address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4614
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 |
|---|---|---|---|
| 40QA00864500 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1821352741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-836-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-836-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERONO",
"first_name": "WILFRED",
"middle_name": "JAGORILES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00864500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Manuel Pereira Herrera, MD
- Nicholas Nestor Perez, PSY.D.
- Divya Periasamy, MD
- Perioperative Ambulatory Anesthesiology Partners, LLC
- Isaac Victor Perle, DMD
- Sabrina Jeanette Peros
- Peter E. Lowenstein DC PA
- Gretchen Lynn Peters, MSN, APRN, FNP-C
- John Petrocco III, M.S.W., L.C.S.W.
- Oleksandra Petryna, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.