Perklandmd, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERKLANDMD, LLC

Doing business as

PerklandMD

Practice address

5338 Bowers Hill Dr
Haymarket, VA 20169-4510

Phone

(703) 338-0878

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jibran Jahangiri

Title

Ceo

Phone

(703) 338-4152

Specialties & licenses 2

Addresses

Other names 1

• PerklandMD Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1508632332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 BOWERS HILL DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694510",
            "telephone_number": "703-338-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 BOWERS HILL DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694510",
            "telephone_number": "703-338-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKLANDMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-01-22",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "JAHANGIRI",
        "authorized_official_first_name": "JIBRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-338-4152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@perklandmd.com",
            "affiliation": "N",
            "endpointDescription": "Billing office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office manager",
            "address_1": "202 Penny Ln Ste C",
            "city": "Morehead City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285572994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PerklandMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PerklandMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra L Parillo
• Ketan B. Patel, MD
• Kristen Ashley Patterson, LMT
• Peak Potential Personal Development
• Kimberly M Pennington, PA
• Maria Perozzi, LMFT
• Wendyaline Philip-Cyprien, CRNA
• Physical Medicine Associates LTD
• Lisa Poe, RPH
• Jacqueline Pouncy-Smith, LCSW

• Durable Medical Equipment & Medical Supplies in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.