Individual provider Active NPI

Phyllis Marcy Perkins, MD

  • Obstetrics & Gynecology Physician
  • Galloway, NJ
National Provider Identifier
1326101726
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA037485 Issued in NJ
Practice address
314 Chris Gaupp Dr
Suite 101
Galloway, NJ 08205-4464
Phone
(609) 404-1400
Fax
(609) 404-1430
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA037485 NJ Primary

Addresses

Primary practice location

314 Chris Gaupp Dr
Suite 101
Galloway, NJ 08205-4464

Mailing address

2 Ashbridge LN
Linwood, NJ 08221-1342
Phone (609) 226-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA037485NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group Past Accepting new patients
Ladies Choice Obstetrics & Gynecology PC Obstetrics & Gynecology PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1326101726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ASHBRIDGE LN",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211342",
            "telephone_number": "609-226-8108",
            "fax_number": "609-788-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHRIS GAUPP DR",
            "address_2": "SUITE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054464",
            "telephone_number": "609-404-1400",
            "fax_number": "609-404-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "PHYLLIS",
        "middle_name": "MARCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA037485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.