Individual provider Active NPI

Patrick V. Perin, MD

  • Allergy & Immunology Physician
  • Teaneck, NJ
National Provider Identifier
1093892465
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA05507300 Issued in NJ
Practice address
553 Cedar LN Ste a
Teaneck, NJ 07666-1712
Phone
(201) 836-6400
Fax
(201) 836-0399
NPI assigned
Nov 1, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA05507300 NJ Primary

Addresses

Primary practice location

553 Cedar LN Ste a
Teaneck, NJ 07666-1712

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
0431711MedicaidNJ
651311ZKRPOtherNJMEDICARE PTAN

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
I20080303000392 NJ Practitioner - Allergy/Immunology 7618051426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Fordham University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of NJ PCGroup PAC ID 3274855499, 6 clinicians

Practice addresses (Care Compare)

553 Cedar LN
Suite a
Teaneck, NJ 07666-1712
Phone (201) 836-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05507300NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of NJ, PC Allergy & Immunology CurrentSince Aug 27, 2014 Accepting new patients
Atlantic Allergy, Asthma & Immunology Associates of NJ LLC Allergy & Immunology Past Accepting new patients

Locations

8 Tindall Rd
Middletown, NJ 07748
Phone (732) 671-7676

802 W Park Ave
Ste 213
Ocean, NJ 07712
Phone (732) 631-8976

553 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 836-6400

504 Hamburg Tpke
Ste B103
Wayne, NJ 07470
Phone (973) 790-6707

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1093892465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 CEDAR LN STE A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661712",
            "telephone_number": "201-836-6400",
            "fax_number": "201-836-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "PATRICK",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA05507300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431711",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "651311ZKRP",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.