Active NPI
Isaac Victor Perle, DMD
- Dentist
- Brick, NJ
National Provider Identifier
1578609087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02588100
- Practice address
- 1608 Route 88
Suite 205
Brick, NJ 08724-3009 - Phone
- (732) 840-4444
- Fax
- (617) 738-6940
- NPI assigned
- Jan 30, 2007
- Last updated
- May 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14338 | MA | |
| Dentist | 122300000X | DS041716 | PA | |
| Dentist | 122300000X | 22DI02588100 | NJ | Primary |
Addresses
Primary practice location
1608 Route 88
Suite 205
Brick, NJ 08724-3009
Mailing address
1608 Route 88 Ste 205
Brick, NJ 08724-3009
Phone (328) 404-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255351 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14338 | MA | MD | Dentist |
| 22DI02588100 | NJ | MD | Dentist |
| DS041716 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1578609087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 ROUTE 88 STE 205",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243009",
"telephone_number": "328-404-4447",
"fax_number": "848-232-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 ROUTE 88",
"address_2": "SUITE 205",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243009",
"telephone_number": "732-840-4444",
"fax_number": "617-738-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLE",
"first_name": "ISAAC",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2021-05-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14338",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041716",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02588100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255351",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Seana Lee Percy, PMH-C
- Manuel Pereira Herrera, MD
- Nicholas Nestor Perez, PSY.D.
- Divya Periasamy, MD
- Perioperative Ambulatory Anesthesiology Partners, LLC
- Wilfred Jagoriles Perono, P.T.
- Sabrina Jeanette Peros
- Peter E. Lowenstein DC PA
- Gretchen Lynn Peters, MSN, APRN, FNP-C
- John Petrocco III, M.S.W., L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.