Provider Demographics
NPI:1225126378
Name:PERRY, ROBIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ RM 623
Practice Address - Street 2:COOPER PERINATOLOGY ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-968-2491
Practice Address - Fax:856-342-7023
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA50757207VM0101X
NJ25MA050757002080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1439006Medicaid
NJ3K6169OtherHEALTHNET
NJ60686OtherAETNA
NJ693499OtherPA BS HIGHMARK
NJ13550OtherUNIVERISTY HEALTH PLAN
NJ160059842OtherRR MEDICARE
NJ1817931OtherUNITED HEALTHCARE
NJ2051688OtherAETNA
NJ6338177OtherCIGNA
NJ693499OtherAMERIHEALTH PPO/PA BS
NJ0528443000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1151594OtherHORIZON NJ HEALTH
NJCA0000158OtherAMERICHOICE
NJP859995OtherOXFORD
NJP1893899OtherOXFORD
NJ1008890OtherHORIZON NJ HEALTH
NJ1817931OtherUNITED HEALTHCARE
NJ693499OtherAMERIHEALTH PPO/PA BS