NPIMap

Individual provider Active NPI

Vasantha K Perkari, MD

  • Internal Medicine Physician
  • Matawan, NJ
National Provider Identifier
1215032156
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA41930 Issued in NJ
Practice address
428 Lloyd Rd
Matawan, NJ 07747
Phone
(732) 566-7711
Fax
(732) 566-2482
NPI assigned
Sep 14, 2006
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA41930 NJ Primary

Addresses

Primary practice location

428 Lloyd Rd
Matawan, NJ 07747

Mailing address

428 Lloyd Rd
Matawan, NJ 07747-1552
Phone (732) 566-7711

Other identifiers 1

IdentifierTypeStateIssuer
3419207MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000690 NJ Practitioner - Internal Medicine 6406881606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

428 Lloyd Rd
Aberdeen, NJ 07747-1552
Phone (732) 203-9680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA41930NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DADGCA/Endpoint/DADGCA

Organizations & group practices 3

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1215032156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LLOYD RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471552",
            "telephone_number": "732-566-7711",
            "fax_number": "732-566-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LLOYD RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-566-7711",
            "fax_number": "732-566-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKARI",
        "first_name": "VASANTHA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA41930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.