Individual provider Active NPI

Peter Perrone, MD,DC

  • Family Medicine Physician
  • Garfield, NJ
National Provider Identifier
1093913006
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021039159 Issued in MO
Practice address
85 Morrell PL
Garfield, NJ 07026-1223
Phone
(201) 575-2535
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9395 FL
Family Medicine Physician 207Q00000X 2021039159 MO Primary

Addresses

Primary practice location

85 Morrell PL
Garfield, NJ 07026-1223

Mailing address

85 Morrell PL
Garfield, NJ 07026-1223
Phone (201) 575-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240608000104 NJ Practitioner - Chiropractic 7113908195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CH9395FLMDChiropractor
2021039159MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beam Chiropractic Health Center Chiropractor CurrentSince May 21, 2024 Accepting new patients
Doctors United, Inc Past Accepting new patients

Locations

55 Schanck Rd
Ste B19
Freehold, NJ 07728
Phone (732) 294-0004

602 Candlewood Cmns
Howell, NJ 07731
Phone (732) 901-3001

Organizations & group practices 2

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1093913006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MORRELL PL",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261223",
            "telephone_number": "201-575-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MORRELL PL",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261223",
            "telephone_number": "201-575-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD,DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9395",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021039159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.