Active NPI
David Paul Bleeker, MD
- Internal Medicine Physician
- Paterson, NJ
National Provider Identifier
1023195237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04224000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Current | Accepting new patients |
| David P. Bleeker MD | Internal Medicine | Past | 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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1063676872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.