Healthcare Provider Details

I. General information

NPI: 1841602281
Provider Name (Legal Business Name): ZACHARY K PERLMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date: 07/03/2020
Reactivation Date: 07/14/2020

III. Provider practice location address

180 WHITE RD STE 102
LITTLE SILVER NJ
07739-1166
US

IV. Provider business mailing address

180 WHITE RD STE 102
LITTLE SILVER NJ
07739-1166
US

V. Phone/Fax

Practice location:
  • Phone: 732-497-4474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number25MB10314100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: