1477461143 NPI number — BARBARA L PEREYRA BSN RN LCADC

Table of content: BARBARA L PEREYRA BSN RN LCADC (NPI 1477461143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477461143 NPI number — BARBARA L PEREYRA BSN RN LCADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PEREYRA
Provider First Name:
BARBARA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BSN RN LCADC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PEREYRA
Provider Other First Name:
BARBARA
Provider Other Middle Name:
F
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
BSN RN LCADC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1477461143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 ROCKAGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07059-5506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-399-2910
Provider Business Mailing Address Fax Number:
908-552-4330

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 ROCKAGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07059-5506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-399-2910
Provider Business Practice Location Address Fax Number:
908-552-4330
Provider Enumeration Date:
09/01/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  37LC00116300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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