Jeffrey M Perricci, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17939 Issued in NJ

Practice address

594 Kearny Ave
Kearny, NJ 07032-2812

Phone

(201) 991-1733

Fax

(201) 991-3199

NPI assigned

May 6, 2007

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Perricci

  • Dental Clinic/Center
  • Kearny, NJ
  • NPI 1215360375
  NPD (past) Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1982816393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RICHARD DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281504",
            "telephone_number": "201-991-1733",
            "fax_number": "201-991-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322812",
            "telephone_number": "201-991-1733",
            "fax_number": "201-991-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICCI",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc (Pearle Vision #C6314)
• Pediatrics & Adolescent Saint Mary Clinic, LLC
• Adela M. Peralta, M.D.
• Kathelyn Perez
• Vanessa Perez
• Louis Perrone, D.C.
• Paul August Pfefferle, D.M.D.
• Mary Phan
• Pillpack LLC
• Pinnacle Treatment Centers NJ-V (Endeavor House North)

• General Practice Dentistry in Kearny, NJ
• Providers in Kearny, 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 Oct 17, 2012; 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.