Padam K Neopane, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Newark, NJ
NPI 1104967488 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1104967488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 25MA08490600 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bergen County Improvement Authority
University Physician Associates of New Jersey Inc
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
- Bergen New Bridge Medical Center
- The University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090729000871 | NJ | Practitioner - Family Practice |
1658424270 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current |
Accepting new patients | |
| Bergen County Improvement Authority | Current |
Accepting new patients | |
| Bergen County Improvement Authority | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients | |
| University Hospital | Past | Accepting new patients |
Locations
90 Bergen St
Lowr
Newark, NJ 07103
Phone (973) 972-2111
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
Ste 300
Newark, NJ 07103
Phone (973) 972-2111
90 Bergen St
Ofc Cent
Newark, NJ 07103
Phone (973) 972-2111
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 25MA08490600 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206385 | Medicaid | NJ |
Other providers in Newark, NJ
- Anupama Nehra
- Neighbours-Inc
- Peter John Nelson
- Sobrina Nembhard
- Isabelle Nemeh
- Nes Georgia Inc
- Jazmine Nesbitt
- Sabitri Nesbitt
- Ahmad Sami Nessar
- Chitra Arun Netravali
All providers in Newark, NJ · Geriatric Medicine (Family Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.