Organization Active NPI

Patrick V Perin MD PC

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1053580464
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA055073 Issued in NJ
Legal business name
PATRICK V PERIN MD PC
Practice address
185 Cedar LN
Suite L2
Teaneck, NJ 07666-4316
Phone
(201) 836-6400
Fax
(201) 836-0399
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick V Perin
Title
MD
Phone
(201) 836-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA055073 NJ Primary

Addresses

Primary practice location

185 Cedar LN
Suite L2
Teaneck, NJ 07666-4316

Mailing address

185 Cedar LN
Suite L2
Teaneck, NJ 07666-4316
Phone (201) 836-6400

Other identifiers 1

IdentifierTypeStateIssuer
1621700MedicaidNJ

National Provider Directory

National Provider Directory

Locations

185 Cedar Ln
Ste L2
Teaneck, NJ 07666
Phone (201) 836-6400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1053580464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE L2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-6400",
            "fax_number": "201-836-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE L2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-6400",
            "fax_number": "201-836-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK V PERIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "PERIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-836-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA055073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.