Active NPI
Patrick V Perin MD PC
- Specialist
- Teaneck, NJ
National Provider Identifier
1053580464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA055073
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621700 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.