Active NPI
Rebecca Perril, D.O.
- Pediatrics Physician
- Tinton Falls, NJ
National Provider Identifier
1669664298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB08221500
- Practice address
- 4000 Route 66
Suite 125
Tinton Falls, NJ 07753-7300 - Phone
- (732) 922-2105
- Fax
- (732) 922-2472
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 25MB08221500 | NJ | |
| Pediatrics Physician | 208000000X | 25MB08221500 | NJ | Primary |
Addresses
Primary practice location
4000 Route 66
Suite 125
Tinton Falls, NJ 07753-7300
Mailing address
4000 Route 66
Suite 125
Tinton Falls, NJ 07753-7300
Phone (732) 922-2105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0249190 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08221500 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCD Health Partners | Pediatrics | Past | Accepting new patients |
| Shore Care Pediatrics L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- rperril77244@direct.optum.com
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.
-
- Primary Care Clinic/Center
- Tinton Falls, NJ
- NPI 1154636751
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1225317704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1669664298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 ROUTE 66",
"address_2": "SUITE 125",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537300",
"telephone_number": "732-922-2105",
"fax_number": "732-922-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ROUTE 66",
"address_2": "SUITE 125",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537300",
"telephone_number": "732-922-2105",
"fax_number": "732-922-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIL",
"first_name": "REBECCA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "25MB08221500",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08221500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0249190",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.