Odelis Peralta

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03025401 Issued in NY

Practice address

750 Jennings St
Bronx, NY 10459-1204

Phone

(718) 378-0006

NPI assigned

Nov 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: operalta@schools.nyc.gov

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1851994446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 AUDUBON AVE APT 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100338326",
            "telephone_number": "732-397-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 JENNINGS ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104591204",
            "telephone_number": "718-378-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ODELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "03025401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Operalta@schools.nyc.gov",
            "affiliation": "N",
            "address_1": "750 Jennings St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104591204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelvin Peralta, O.D
• Leslie Peralta, OTR/L
• Manuel Peralta
• Marbelin Peralta
• Mariana Noemi Peralta, M.A CCC-SLP
• Patricia Peralta
• Raquel Maria Peralta, M.D.
• Stephanie Peralta
• Yesenia Peralta
• Yesenia Peralta

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.