Individual provider Active NPI

Dusan Perisic, MD

  • Obstetrics & Gynecology Physician
  • Edison, NJ
National Provider Identifier
1073767026
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09238900 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(848) 308-5367
Fax
(848) 308-5368
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09238900 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

2 Brynwood CT
Gladstone, NJ 07934-2080
Phone (908) 342-0572

Other practice location 1

6045 Kennedy Blvd Ste B
North Bergen, NJ 07047-3246
Phone (201) 868-2630

Other practice location 2

98 James St Fl 4
Edison, NJ 08820-3902
Phone (848) 308-5367

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000082 NJ Practitioner - Obstetrics/Gynecology 6608021167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7189

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 19, 2013 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Obstetrics & Gynecology Past Accepting new patients

Locations

98 James St
Fl 4
Edison, NJ 08820
Phone (732) 321-7907

65 James St
Edison, NJ 08820
Phone (732) 321-7010

98 James St
#4
Edison, NJ 08820

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

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

6045 Kennedy Blvd
Ste B
North Bergen, NJ 07047
Phone (201) 453-0322

Interoperability endpoints

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

Organizations & group practices 4

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 2

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1073767026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRYNWOOD CT",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "079342080",
            "telephone_number": "908-342-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "848-308-5367",
            "fax_number": "848-308-5368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6045 Kennedy Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473246",
            "country_code": "US",
            "telephone_number": "201-868-2630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 James St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203902",
            "country_code": "US",
            "telephone_number": "848-308-5367",
            "fax_number": "848-308-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERISIC",
        "first_name": "DUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09238900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.