Individual provider Active NPI

Dinamarie Perrino, D.O.

  • Family Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1932277332
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06324800 Issued in NJ
Practice address
1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1663
Phone
(732) 203-0800
Fax
(732) 203-9494
NPI assigned
Dec 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06324800 NJ Primary

Addresses

Primary practice location

1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1663

Mailing address

1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1663
Phone (732) 203-0800

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
I20130705000076 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9931349438 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Antonios Tsompanidis DO PC Family Medicine CurrentSince May 16, 2013 Accepting new patients

Locations

1 Bethany Rd
Ste 79
Hazlet, NJ 07730
Phone (732) 203-0800

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932277332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "SUITE 79",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-203-0800",
            "fax_number": "732-203-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "SUITE 79",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-203-0800",
            "fax_number": "732-203-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINO",
        "first_name": "DINAMARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06324800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.