Organization Active NPI

Robert J Perin MD PA

  • Allergy & Immunology Physician
  • Woodbury, NJ
National Provider Identifier
1124000930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA37634 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08233209MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.