Stacey Perez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00861300 Issued in NJ

Practice address

902 N 5TH St
Newark, NJ 07107-4804

Phone

(973) 910-2300

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069

  Speech-Language Pathologist

  NPD
• Holsman Physical Therapy and Wellness PC

  • Physical Therapist
  • Bloomfield, NJ
  • NPI 1194284653

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1982243366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N 5TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074804",
            "telephone_number": "973-910-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 5TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074804",
            "telephone_number": "973-910-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STACEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00861300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peres, LPC
• Hilarie J Perez
• Kevin Alberto Perez, DO
• Maria Perez, PCT
• Michelle Perez, LMSW
• Kathleen Mangunay Pergament, D.O., M.P.H.
• Jennifer Perhac, MS OT
• Louis J Perl, MD
• Chris Tonya Pernell, M.D., MPH
• Sarah Elizabeth Perry

• Speech-Language Pathologist in Newark, NJ
• Providers in Newark, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.