Individual provider Active NPI

Robert Jean Perin, MD

  • Allergy & Immunology Physician
  • Woodbury, NJ
National Provider Identifier
1679564959
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA37634 Issued in NJ
Practice address
630 Salem Ave
Woodbury, NJ 08096-3118
Phone
(856) 845-8300
Fax
(856) 845-2512
NPI assigned
Nov 4, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA37634 NJ Primary

Addresses

Primary practice location

630 Salem Ave
Woodbury, NJ 08096-3118

Mailing address

630 Salem Ave
Woodbury, NJ 08096-3118
Phone (856) 845-8300

Other identifiers 1

IdentifierTypeStateIssuer
1082701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000519 NJ Practitioner - Allergy/Immunology 2163400698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA37634NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Dec 26, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Dec 26, 2023 Accepting new patients

Locations

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Interoperability endpoints

  • Direct secure messaging: robert.perin@robertperin.chartmakerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679564959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SALEM AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963118",
            "telephone_number": "856-845-8300",
            "fax_number": "856-845-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SALEM AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963118",
            "telephone_number": "856-845-8300",
            "fax_number": "856-845-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "ROBERT",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA37634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.