Individual provider Active NPI

Adam Jay Perlin, OD

  • Optometrist
  • Voorhees, NJ
National Provider Identifier
1467409409
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00541200 Issued in NJ
Practice address
1192 White Horse Rd
Voorhees, NJ 08043-2104
Phone
(856) 428-0100
Fax
(856) 428-6788
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00541200 NJ Primary

Addresses

Primary practice location

1192 White Horse Rd
Voorhees, NJ 08043-2104

Mailing address

4000 Gypsy LN
Unit 548
Philadelphia, PA 19129-5460
Phone (215) 432-4048

Other identifiers 1

IdentifierTypeStateIssuer
7855508MedicaidNJ

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perlin Eye Associates, PA Optometrist CurrentSince Jun 25, 1997 Accepting new patients

Locations

500 Route 38
Unit 5
Cherry Hill, NJ 08002
Phone (856) 663-3959

Organizations & group practices 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1467409409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 GYPSY LN",
            "address_2": "UNIT 548",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191295460",
            "telephone_number": "215-432-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 WHITE HORSE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432104",
            "telephone_number": "856-428-0100",
            "fax_number": "856-428-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLIN",
        "first_name": "ADAM",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00541200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7855508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.