Healthcare Provider Details

I. General information

NPI: 1184539041
Provider Name (Legal Business Name): JOSEPHINE PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 US HIGHWAY 46 APT 56A
PARSIPPANY NJ
07054-1940
US

IV. Provider business mailing address

1480 US HIGHWAY 46 APT 56A
PARSIPPANY NJ
07054-1940
US

V. Phone/Fax

Practice location:
  • Phone: 862-223-9292
  • Fax:
Mailing address:
  • Phone: 862-223-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: