Individual provider Active NPI

Bernard Favarato Perutti, AGPCNP

  • Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1073273769
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01293400 Issued in NJ
Practice address
650 From Rd
Ste 506
Paramus, NJ 07652
Phone
(551) 996-1342
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01293400 NJ Primary

Addresses

Primary practice location

650 From Rd
Ste 506
Paramus, NJ 07652

Mailing address

331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688

Other practice location 1

90 W Ridgewood Ave
Paramus, NJ 07652-2270
Phone (201) 652-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109000110 NJ Practitioner - Nurse Practitioner 5496125437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Al Obaidi MD LLCGroup PAC ID 4284012352, 4 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

55 Meadowlands Pkwy
FL 3
Secaucus, NJ 07094-2977
Phone (551) 333-3686

650 From Rd
Paramus, NJ 07652-3517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.99 of 100Reported as individual
Quality
43.33
Improvement activities
0
Cost
71.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01293400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Al Obaidi MD LLC CurrentSince Jun 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 19, 2025 Accepting new patients
Bridgecare Provider Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 19, 2025 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 468-2065

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 Prospect Ave
#5
Hackensack, NJ 07601
Phone (551) 996-4218

650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342

90 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 562-1950

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1073273769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG 2, STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FROM RD",
            "address_2": "STE 506",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "551-996-1342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 W Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522270",
            "country_code": "US",
            "telephone_number": "201-652-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUTTI",
        "first_name": "BERNARD",
        "middle_name": "FAVARATO",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01293400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.