Organization Active NPI

Martin Perlin, M.D.

  • Medical Specialty Clinic/Center
  • Mount Kisco, NY
National Provider Identifier
1780702852
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
131163 Issued in NY
Legal business name
MARTIN PERLIN, M.D.
Practice address
118 N Bedford Rd Ste 100
Mount Kisco, NY 10549-2555
Phone
(203) 856-0185
Fax
(203) 866-5594
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Martin Perlin, MDNPI 1326062597
Title
Physician
Phone
(203) 838-7205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 030601 CT
Medical Specialty Clinic/Center 261QM2500X 131163 NY Primary

Addresses

Primary practice location

118 N Bedford Rd Ste 100
Mount Kisco, NY 10549-2555

Mailing address

118 N Bedford Rd Ste 100
Mount Kisco, NY 10549-2555
Phone (203) 856-0185

Other identifiers 3

IdentifierTypeStateIssuer
1306019MedicaidNY
00747484MedicaidNY
1306019MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122000862 NY Part B Supplier - Clinic/Group Practice 4486778032 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Kisco, NY

National Provider Directory

National Provider Directory

Locations

83 East Ave
Ste 106
Norwalk, CT 06851
Phone (203) 838-7205

118 N Bedford Rd
Mount Kisco, NY 10549
Phone (914) 426-3930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1780702852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD STE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492555",
            "telephone_number": "203-856-0185",
            "fax_number": "203-866-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD STE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492555",
            "telephone_number": "203-856-0185",
            "fax_number": "203-866-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PERLIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "PERLIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-838-7205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030601",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "131163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306019",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747484",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306019",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.