Active NPI
Lina Perumpail, APN
- Nurse Practitioner
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NR11424800
- Practice address
- 600 River Ave
Lakewood, NJ 08701-5237 - Phone
- (732) 363-1900
- NPI assigned
- Mar 19, 2015
- Last updated
- Feb 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NR11424800 | NJ | Primary |
Addresses
Primary practice location
600 River Ave
Lakewood, NJ 08701-5237
Mailing address
6 Silver Leaf Dr
Marlboro, NJ 07746-1896
Phone (646) 924-8115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (732) 786-3191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR11424800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Neurology LLC | Current | Accepting new patients | |
| Hospital Medicine of Monmouth County | Past | Accepting new patients | |
| Charles L. Spellman, DO | Past | Accepting new patients |
Locations
901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFEBD
- lperumpail425384@direct.ahsys.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Freehold, NJ
- NPI 1427547199
-
- Internal Medicine Physician
- Long Branch, NJ
- NPI 1932187895
-
- Internal Medicine Physician
- W Long Branch, NJ
- NPI 1619082922
-
- Hospitalist Physician
- Long Branch, NJ
- NPI 1578715389
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1932593670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SILVER LEAF DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461896",
"telephone_number": "646-924-8115",
"fax_number": "203-531-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015237",
"telephone_number": "732-363-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERUMPAIL",
"first_name": "LINA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NR11424800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.