ERIKA A PEEREBOOM P.A. NPI 1023146537

Physician Assistant in Rockaway, NJ

About ERIKA PEEREBOOM

Erika Peereboom is a provider in Rockaway, NJ with more than 14 years of experience. The NPI number assigned to this provider is 1023146537. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago. Erika Peereboom is registered with Medicare and accepts claims assignment.

NPI

1023146537

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ERIKA A PEEREBOOM P.A.
Provider Location Address35 GREEN POND RD ROCKAWAY, NJ 07866 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address35 GREEN POND RD ROCKAWAY, NJ 07866 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-12-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ERIKA A PEEREBOOM P.A.
35 GREEN POND RD
ROCKAWAY, NJ
ZIP 07866
Phone: (973) 586-7447
Fax: (973) 586-7445
Get Directions

Mailing Address

ERIKA A PEEREBOOM P.A.
35 GREEN POND RD
ROCKAWAY, NJ
ZIP 07866
Phone: (973) 586-7447
Fax: (973) 586-7445

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.25MP00128700
License StateNJ
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical25MP00128700NJNo
2363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical Technologist25MP00128700NJNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
087109MEDICARE PIN (08)

Map Location


ERIKA A PEEREBOOM P.A. address is 35 GREEN POND RD ROCKAWAY, NJ 07866

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023260643MS. CORINNE ANN CARMONA A.P.N
Individual
Nurse Practitioner (Family)35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 586-7447
1174946479MR. JOSEPH COLLETTI P.A.
Individual
Physician Assistant (Medical)35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 625-5946
1356316020DR. OTTER QUAKING ASPEN M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 625-0600
1487758926 MELISSA JANE CONNOLLY MD
Individual
Pediatrics35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 627-6010
1487773164MS. TINA MARIE OCCHIUTO APRN, BC
Individual
Nurse Practitioner (Acute Care)35 GREEN POND RD SUITE C
ROCKAWAY, NJ 07866
(973) 625-0600
1720115355 JOSEPH M MASESSA M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 586-7447
1730217241 ASHLEY L FALIS P.A.
Individual
Physician Assistant35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 586-7447
1750331948MR. JASON STABACK PA-C
Individual
Dermatology35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 625-0600
1760525257 MIRIAM THOMAS M.D.
Individual
Pediatrics35 GREEN POND RD SUITE A
ROCKAWAY, NJ 07866
(973) 627-6010
1932237476NORTH JERSEY DERMATOLOGY CENTER, P.C.
Organization
Dermatology (MOHS-Micrographic Surgery)35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 586-7447
1952361602DR. SILVIA MARIA MAGADAN D.O.
Individual
Pediatrics35 GREEN POND RD SUITE 1A
ROCKAWAY, NJ 07866
(973) 627-6010
1962487884PEDIATRICS OF MORRIS
Organization
Pediatrics35 GREEN POND RD
ROCKAWAY, NJ 07866
(973) 625-5538
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