Active NPI
Robert J Perin MD PA
- Allergy & Immunology Physician
- Woodbury, NJ
National Provider Identifier
1124000930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MA37634
- Legal business name
- ROBERT J PERIN MD PA
- Practice address
- 630 Salem Ave
Woodbury, NJ 08096-3118 - Phone
- (856) 845-8300
- Fax
- (856) 845-2512
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Perin, MD
- Title
- President
- Phone
- (856) 845-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MA37634 | NJ | Primary |
Addresses
Primary practice location
630 Salem Ave
Woodbury, NJ 08096-3118
Mailing address
630 Salem Ave
Woodbury, NJ 08096-3118
Phone (856) 845-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08233209 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
2950 College Dr
Ste 2B
Vineland, NJ 08360
Phone (856) 309-8508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124000930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SALEM AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963118",
"telephone_number": "856-845-8300",
"fax_number": "856-845-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SALEM AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963118",
"telephone_number": "856-845-8300",
"fax_number": "856-845-2512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J PERIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-845-8300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "MA37634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08233209",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.