MS. ALLYSSA VENDIOLA PEREZ – Gerontology Nurse Practitioner, NPI 1679926539

MS. ALLYSSA VENDIOLA PEREZ is a healthcare provider. based in Mahwah, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ00953400 (NJ). The NPI Number for MS. ALLYSSA VENDIOLA PEREZ is 1679926539

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALLYSSA VENDIOLA PEREZ
NPI
1679926539
Phone
(609) 474-0120
Address
1 LETHBRIDGE PLZ STE 20
Enumeration Date
15 July 2016
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322404000
Graduation Year
2019 (7 years ago)
PAC ID
1355773417
Group Practice PAC ID
4082959424
Professional Enrollment ID
I20191112002291
Address ID
NJ087555037TO25XXXRDXX343
Telehealth
Yes

Contacts

Secure Messaging
Scheduling@getclare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MS. ALLYSSA VENDIOLA PEREZ

  • 1 LETHBRIDGE PLZ STE 20

    MAHWAH, NJ 074302114

    Phone: (609) 474-0120

    Fax: (609) 474-0121

    Type: Mailing

  • 153 GRAND CENTRAL PKWY

    BAYVILLE, NJ 087212711

    Phone: (732) 551-9494

    Type: Mailing

  • 1000 N West St

    Wilmington, DE 198011050

    Phone: (732) 551-9494

    Type: Location

  • 137 HIGH ST FL 2A

    MOUNT HOLLY, NJ 080601476

    Phone: (609) 474-0120

    Fax: (609) 474-0121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191112002291INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes546300$0
99443Telephone medical discussion with physician, 21-30 minutes9076$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes6161$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes5754$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 07430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082959424View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Family Practice, General Practice, Internal MedicineNJ
Nephrology, Internal MedicineNJ

Reviews

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Frequently asked questions

What unique ID ties claims to MS. ALLYSSA VENDIOLA PEREZ?
NPI 1679926539 is assigned to MS. ALLYSSA VENDIOLA PEREZ under the national enumeration system.
Does this profile mean MS. ALLYSSA VENDIOLA PEREZ is currently active?
Yes — MS. ALLYSSA VENDIOLA PEREZ appears active in the national provider directory.
What does MS. ALLYSSA VENDIOLA PEREZ treat or focus on?
Patients typically see MS. ALLYSSA VENDIOLA PEREZ under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. ALLYSSA VENDIOLA PEREZ's primary listing?
We display Mahwah, New Jersey because that is what the record indicates for MS. ALLYSSA VENDIOLA PEREZ.
What if Mahwah, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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