Active NPI
Marina Perlov, MD
- Diagnostic Radiology Physician
- Bayonne, NJ
National Provider Identifier
1790846772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MA71419
- Practice address
- 657 659 Broadway
Bayonne, NJ 07002 - Phone
- (201) 437-3007
- Fax
- (201) 437-4070
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA71419 | NJ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2158081 | NY |
Addresses
Primary practice location
657 659 Broadway
Bayonne, NJ 07002
Mailing address
657 659 Broadway
Bayonne, NJ 07002
Phone (201) 437-3007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081114000288 | NY | Practitioner - Diagnostic Radiology | 1557392230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA71419 | NJ | MD | Diagnostic Radiology Physician |
| 2158081 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Shore Medical PC | Past | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Ae&Ly Ambulatory Endoscopy PLLC | Past | Accepting new patients | |
| Advanced Diagnostic Medical Services, P.C. | Past | Accepting new patients | |
| Brooklyn 83Rd St Medical | Diagnostic Radiology | Past | Accepting new patients |
| Hudson Radiology Center of NJ | Past | Accepting new patients | |
| Hudson Radiology Center | Diagnostic Radiology | Past | Accepting new patients |
| Personal Touch Medical Care, P.C. | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Bayonne, NJ
- NPI 1699781344
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Bayonne, NJ
- NPI 1326275108
-
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1780810473
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1609019819
-
dba Canarsie Radiology Associates
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1174539829
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1477508315
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1255546925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790846772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 659 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-437-3007",
"fax_number": "201-437-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 659 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-437-3007",
"fax_number": "201-437-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLOV",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "MA71419",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "2158081",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.