Active NPI
Martin Perlin, M.D.
- Medical Specialty Clinic/Center
- Mount Kisco, NY
National Provider Identifier
1780702852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 131163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Perlin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306019 | Medicaid | NY | |
| 00747484 | Medicaid | NY | |
| 1306019 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Mount Kisco, NY
- NPI 1326062597
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.