Jeffrey L. Pesin, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA05777800 Issued in NJ

Practice address

106 James St
Edison, NJ 08820-3945

Phone

(732) 906-0091

Fax

(732) 906-0249

NPI assigned

May 11, 2006

Last updated

Nov 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1205886009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203945",
            "telephone_number": "732-906-0091",
            "fax_number": "732-906-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203945",
            "telephone_number": "732-906-0091",
            "fax_number": "732-906-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESIN",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05777800",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05777800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6556701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusan Perisic, MD
• Kelly Perkowski, APN
• Mary Permiakov, APRN, FNP-C
• Jennifer Lynn Perry, CNM
• Person Centered Healthcare Services LLC
• Brian Michael Peters, D.M.D.
• Brittany Peterson
• Maryann Peterson, M.D.
• Kristin Petosa, D.P.T.
• Michael Joseph Pezza Jr., DC

• Pulmonary Disease Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.