Maxwell Edward Perelgut, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03142900 Issued in NJ

Practice address

1910 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2123

Phone

(856) 746-6280

NPI assigned

Jun 19, 2023

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gregory M. Shupik, D.M.D., P.a.

  • Periodontics
  • Cherry Hill, NJ
  • NPI 1053538116
  NPD (past)
• Periodontal Consultants, PA

  • Periodontics
  • Cherry Hill, NJ
  • NPI 1417502378
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1861177768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032123",
            "telephone_number": "856-428-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MARLTON PIKE E STE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032123",
            "telephone_number": "856-746-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482216",
            "country_code": "US",
            "telephone_number": "215-383-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERELGUT",
        "first_name": "MAXWELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03142900",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045592",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "07650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Health & Wellness Center (Pennsylvania Injury Center)
• Kristi L Pennypacker, SLP
• Marlon Peralta
• Samantha Peraza, MSN, APRN, CCRN
• Anne M Peregmon, DPT
• Bernadette Perez
• Corina Perez
• Ralph E Perez, PT
• Rebekah Perez, LPC, CAS
• Roswell Perez

• Dentist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.