John Robert Peragine, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01584300 Issued in NJ

Practice address

730 Jamaica Blvd
Toms River, NJ 08757

Phone

(732) 341-1118

Fax

(732) 341-6050

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By the provider in NPPES

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1215119847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757",
            "telephone_number": "732-341-1118",
            "fax_number": "732-341-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757",
            "telephone_number": "732-341-1118",
            "fax_number": "732-341-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAGINE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01584300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Toms River, NJ
• Providers in Toms River, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.