Johan Peguero
Psychologist, Group Psychotherapy in Ridgefield, New Jersey
1700561727- Practice location
- 855 Broad Ave Apt 41, Ridgefield, NJ 07657-1032
- Phone
- 929-424-8653
- Fax
- —
- Last updated
- June 19, 2023
Johan Peguero is a healthcare organization based in Ridgefield, NJ. Johan Peguero practices in Ridgefield, NJ. The NPI Number for Johan Peguero is 1700561727. The current practice location address for Johan Peguero is 855 Broad Ave Apt 41, Ridgefield, NJ 07657-1032 and can be reached out via phone at 929-424-8653.
Provider Profile Details
- NPI Number
- 1700561727
- Provider Name
- Johan Peguero
- Provider Entity Type
- Organization
- Address
- 855 Broad Ave Apt 41, Ridgefield, NJ 07657-1032
- Phone Number
- 929-424-8653
- Primary Taxonomy
- Psychologist, Group Psychotherapy · 103TP2701X
- Organization Subpart
- No
- Authorized Official
- Johan Peguero · LCSW · 929-424-8653
- Other Names
- Johan Peguero, LCSW (Doing Business As)
- Provider Enumeration Date
- June 19, 2023
- Last Update Date
- June 19, 2023
- Certification Date
- June 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 855 Broad Ave Apt 41
Ridgefield, NJ 07657-1032 - City
- Ridgefield
- State
- New Jersey
- Zip
- 07657-1032
- Phone Number
- 929-424-8653
Provider Business Mailing Address Details
- Address
- 855 Broad Ave Apt 41
Ridgefield, NJ 07657-1032 - City
- Ridgefield
- State
- NJ
- Zip
- 07657-1032
- Phone Number
- 929-424-8653
License Information
- Taxonomy
- Psychologist, Group Psychotherapy · 103TP2701X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Johan Peguero?
The NPI number of Johan Peguero is 1700561727. It was assigned on June 19, 2023 and is currently active in the NPPES registry.
What is the specialty of Johan Peguero?
Johan Peguero is registered under the primary taxonomy Psychologist, Group Psychotherapy (code 103TP2701X).
Where does Johan Peguero practice?
The practice location is 855 Broad Ave Apt 41, Ridgefield, NJ 07657-1032. The office can be reached at 929-424-8653 (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 1700561727 directly on the NPPES registry website.