NPIMap

Individual provider Active NPI

Padam K Neopane, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Newark, NJ
National Provider Identifier
1104967488
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25MA08490600 Issued in NJ
Practice address
90 Bergen St Ste 300
Newark, NJ 07103-2425
Phone
(973) 972-2111
Fax
(973) 972-2754
NPI assigned
Feb 9, 2007
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA08490600 NJ Primary

Addresses

Primary practice location

90 Bergen St Ste 300
Newark, NJ 07103-2425

Mailing address

5525 Research Park Dr
4TH Floor
Baltimore, MD 21228-4873
Phone (973) 831-3540

Other practice location 1

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000871 NJ Practitioner - Family PracticePractitioner - Geriatric Medicine 1658424270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

90 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Jul 1, 2017 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jul 1, 2017 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 1, 2023 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 1, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
University Hospital Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients

Locations

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Lowr
Newark, NJ 07103
Phone (973) 972-2111

90 Bergen St
Ofc Cent
Newark, NJ 07103
Phone (973) 972-2111

90 Bergen St
Ste 300
Newark, NJ 07103
Phone (973) 972-2111

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1104967488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 RESEARCH PARK DR",
            "address_2": "4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284873",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 300",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2111",
            "fax_number": "973-972-2754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076524142",
            "country_code": "US",
            "telephone_number": "201-967-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEOPANE",
        "first_name": "PADAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08490600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.