Individual provider Active NPI

David Paul Bleeker, MD

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1023195237
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04224000 Issued in NJ
Practice address
21 Market St
Paterson, NJ 07501-1723
Phone
(973) 754-4200
Fax
(973) 754-4201
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 148814 NY
Internal Medicine Physician 207R00000X 25MA04224000 NJ Primary

Addresses

Primary practice location

21 Market St
Paterson, NJ 07501-1723

Mailing address

21 Market St
Paterson, NJ 07501-1723
Phone (973) 754-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000338 NJ Practitioner - Internal Medicine 8921024902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Healthcare, Inc. Internal Medicine CurrentSince Apr 12, 2012 Accepting new patients
David P. Bleeker MD Internal Medicine PastSince Jan 1, 1989 Accepting new patients

Locations

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

21 Market St
Paterson, NJ 07501
Phone (973) 754-4200

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1023195237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011723",
            "telephone_number": "973-754-4200",
            "fax_number": "973-754-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011723",
            "telephone_number": "973-754-4200",
            "fax_number": "973-754-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEEKER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148814",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04224000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.