NPIMap

Individual provider Active NPI

Nicholas Perosi, M.D.

  • Diagnostic Radiology Physician
  • Little Silver, NJ
National Provider Identifier
1407091374
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09464400 Issued in NJ
Practice address
200 White Rd Ste 115
Little Silver, NJ 07739-1160
Phone
(732) 741-9595
NPI assigned
Dec 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA09464400 NJ Primary
Vascular & Interventional Radiology Physician 2085R0204X 25MA09464400 NJ

Addresses

Primary practice location

200 White Rd Ste 115
Little Silver, NJ 07739-1160

Mailing address

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

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
I20140922000886 NJ Practitioner - Diagnostic Radiology 3072742733 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09464400NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holmdel Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Health Village Imaging, LLC CurrentSince Jan 1, 2018 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

100 Commons Way
Ste 130
Holmdel, NJ 07733
Phone (732) 615-0700

100 Commons Way
Ste 110
Holmdel, NJ 07733
Phone (732) 671-6618

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1407091374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD STE 115",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391160",
            "telephone_number": "732-741-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROSI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09464400",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09464400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.