Ryan Perro

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02787100 Issued in NJ

Practice address

1630 Route 322
Swedesboro, NJ 08085-3701

Phone

(856) 832-4480

NPI assigned

Apr 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• DRS. Barrett & Lucci, LLC

  • Dentist
  • Marlton, NJ
  • NPI 1295740850
  NPD (past)
• South Jersey Center for Advanced Dentistry, LLC

  dba SJ Center for Advanced Dentistry

  • Prosthodontics
  • Marlton, NJ
  • NPI 1760006209
  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1982267324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOHN SINGER SARGENT WAY",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080537214",
            "telephone_number": "609-405-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROUTE 322",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853701",
            "telephone_number": "856-832-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Route 73 S",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534141",
            "country_code": "US",
            "telephone_number": "856-988-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRO",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02787100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vrunda Patel
• Path Toward Recovery, LLC
• Peak Physiotherapy & Performance
• Pennsville Counseling Associates, L.L.C.
• Ilia Peregudov, MD
• Lindsey Phan
• Sherlin Sara Philipose, D.M.D
• Stephen A Pisker, DC
• Max Robert Pitel, DMD
• Ashley Sara Pole, CBL, CPD

• General Practice Dentistry in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.