Individual
DR. SANTUSHT A PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
142 PALISADE AVE, JERSEY CITY, NJ 07306-1133
(201) 982-2313
(973) 838-6637
Mailing address
74 GREEN HILL RD, 74 GREENHILL ROAD, KINNELON, NJ 07405-2134
(973) 838-6635
(973) 838-6637
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA66642
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N0781
EMPIRE HEALTH CARE
NJ
01
—
1104139
HORIZON NJ HEALTH
NJ
01
—
292723
AMERIGROUP
NJ
05
—
7263601
—
NJ
01
—
91000888100
AMERICHOICE
NJ
01
—
MA66642
LICENSE
NJ
01
—
P1916232
OXFORD HEALTH
NJ
Enumeration date
08/31/2006
Last updated
07/09/2007
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