Active NPI
J. Martin Perez, MD, LLC
- Surgery Physician
- Hackensack, NJ
National Provider Identifier
1285896316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA07538500
- Legal business name
- J. MARTIN PEREZ, MD, LLC
- Practice address
- 5 Summit Ave Ste 105
Hackensack, NJ 07601-1271 - Phone
- (201) 996-2900
- Fax
- (201) 883-1268
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javier Martin Perez, MD
- Title
- Adjunct Assistant Professor
- Phone
- (201) 996-2000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA07538500 | NJ | Primary |
| Surgical Critical Care Physician | 2086S0102X | 25MA07538500 | NJ | |
| Trauma Surgery Physician | 2086S0127X | 25MA07538500 | NJ |
Addresses
Primary practice location
5 Summit Ave Ste 105
Hackensack, NJ 07601-1271
Mailing address
5 Summit Ave Ste 105
Hackensack, NJ 07601-1271
Phone (201) 883-1268
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1285896316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SUMMIT AVE STE 105",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011271",
"telephone_number": "201-883-1268",
"fax_number": "201-883-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SUMMIT AVE STE 105",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011271",
"telephone_number": "201-996-2900",
"fax_number": "201-883-1268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. MARTIN PEREZ, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JAVIER",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "ADJUNCT ASSISTANT PROFESSOR",
"authorized_official_telephone_number": "201-996-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NJ",
"license": "25MA07538500",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "NJ",
"license": "25MA07538500",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "NJ",
"license": "25MA07538500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.