Active NPIIndividual provider

Amanda R Peraino, MA, EDM

Specialist in Glen Rock, New Jersey

NPI Number1003215336
Practice location
17 Stonefield Road, Glen Rock, NJ 07452
Fax
—
Last updated
August 22, 2014

Amanda Rose Peraino is a Specialist based in Glen Rock, NJ. Amanda Rose Peraino practices in Glen Rock, NJ and has the professional credentials of MA, EDM. The NPI Number for Amanda Rose Peraino is 1003215336 and holds a License No. 770434131 (NY). The current practice location address for Amanda Rose Peraino is 17 Stonefield Road, Glen Rock, NJ 07452 and can be reached out via phone at 551-427-0867.

Provider Profile Details

NPI Number
1003215336
Provider Name
Amanda Rose Peraino
Credential
MA, EDM
Provider Entity Type
Individual
Gender
Female
Address
17 Stonefield Road, Glen Rock, NJ 07452
Phone Number
551-427-0867
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2014
Last Update Date
August 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Stonefield Road
Glen Rock, NJ 07452
Zip
07452
Phone Number
551-427-0867
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
17 Stonefield Road
Glen Rock, NJ 07452
City
Glen Rock
State
NJ
Zip
07452

License Information

License Number (1)
770434131
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X · Primary
License Number (2)
330594091
License State (2)
NY
Taxonomy (2)
Specialist · 174400000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda R Peraino, MA, EDM?

The NPI number of Amanda R Peraino, MA, EDM is 1003215336. It was assigned on August 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Amanda R Peraino, MA, EDM?

Amanda R Peraino, MA, EDM is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 770434131.

Where does Amanda R Peraino, MA, EDM practice?

The practice location is 17 Stonefield Road, Glen Rock, NJ 07452. The office can be reached at 551-427-0867 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003215336 directly on the NPPES registry website.

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