Mark Perrin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA02097600 Issued in NJ

Practice address

914 Maple Ave
Newton, NJ 07860-4404

Phone

(973) 579-5218

Fax

(973) 940-8938

NPI assigned

Dec 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Comprehensive Geriatric Care LLC

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1821036302
  NPD (past)
• Hospitalists Emo, LLC

  • Hospitalist Physician
  • Livingston, NJ
  • NPI 1275575623
  NPD (past)
• Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1043930555
  NPD (past)
• Advanced Behavioral Health

  • Psychologist
  • Philadelphia, PA
  • NPI 1952570558
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1174768147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MAPLE AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078604404",
            "telephone_number": "973-579-5218",
            "fax_number": "973-940-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MAPLE AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078604404",
            "telephone_number": "973-579-5218",
            "fax_number": "973-940-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA02097600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Pedernera, LCSW, LCADC
• Pediatric Family Health Center LLC
• Pete Perdikos
• Valerie Page Perdue, PHD
• Harold S. Perlmutter, MD
• Perrotti Chiropractic LLC
• Franco Perrotti, D.C
• Vijay Peruvemba, D.O.
• Mahafarin Peters, M.D.
• Marisa Parise Petrucelli, D.O.

• Internal Medicine Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.