Individual provider Active NPI

Vannette Perkins, MD

  • Pain Medicine (Anesthesiology) Physician
  • Park City, UT
National Provider Identifier
1104801430
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA05492500 Issued in NJ
Practice address
1912 Sidewinder Dr # 200
Park City, UT 84060-7256
Phone
(435) 602-7778
NPI assigned
Dec 9, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13117864-1205 UT
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA05492500 NJ Primary

Addresses

Primary practice location

1912 Sidewinder Dr # 200
Park City, UT 84060-7256

Mailing address

PO Box 982012
Park City, UT 84098-2012
Phone (856) 296-9614

Other practice location 1

2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Phone (856) 374-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Vannette.Perkins@PPMA-NJ.direct.office.nextgen.com

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
I20110622000244 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 6103985080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Oral Roberts University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Pain Managment AssociatesGroup PAC ID 3577741743, 5 clinicians

Practice addresses (Care Compare)

2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Phone (856) 740-4888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13117864-1205UTMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pain Managment Associates Pain Medicine CurrentSince Aug 24, 1990 Accepting new patients
New Jersey Anesthesia Professionals LLC CurrentSince Oct 1, 2024 Accepting new patients
Surgi Group LLC Current Accepting new patients
New Jersey Anesthesia Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Professional Pain Managment Associates, PC Pain Medicine Past Accepting new patients
Professional Pain Management Assoc Past Accepting new patients

Locations

2250 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 482-9000

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

110 Harbor Ln
Somers Point, NJ 08244
Phone (609) 653-9110

510 E Landis Ave
Vineland, NJ 08360
Phone (856) 691-0361

2007 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 296-9616

Interoperability endpoints

  • Direct secure messaging: clinical@ppmassociates.directbygreenway.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: vannette.perkins@ppma-nj.direct.office.nextgen.com

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, 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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1104801430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982012",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982012",
            "telephone_number": "856-296-9614",
            "fax_number": "856-740-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 SIDEWINDER DR # 200",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607256",
            "telephone_number": "435-602-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 N Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080949120",
            "country_code": "US",
            "telephone_number": "856-374-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "VANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "13117864-1205",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA05492500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vannette.Perkins@PPMA-NJ.direct.office.nextgen.com",
            "affiliation": "N",
            "address_1": "2007 N Black Horse Pike",
            "city": "Williamstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080949120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.