Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Allyssa Vendiola Perez

Individual provider Nurse Practitioner · NPI 1679926539

MS. Allyssa Vendiola Perez is a Nurse Practitioner in Mount Holly, New Jersey. Qualified in 2019, 7 years ago. Practices with Ennoble Hc Nj PC, a 127-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
7
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

137 High St Fl 2A
Mount Holly, NJ 08060-1476
Phone: (609) 474-0120
Fax: (609) 474-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N West St, Wilmington, DE 19801-1050 — (732) 551-9494

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ00953400 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00953400 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 716134 (NY)

Record details

NPI number1679926539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address1 Lethbridge Plz Ste 20, Mahwah, NJ 07430-2114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ennoble Hc Nj Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Mount Holly