Individual provider Active NPI

Deeyana Dehkan

  • Family Nurse Practitioner
  • Rockaway, NJ
National Provider Identifier
1114529609
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01077100 Issued in NJ
Practice address
346 US Highway 46
Rockaway, NJ 07866-3815
Phone
(973) 627-4870
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01077100 NJ Primary

Addresses

Primary practice location

346 US Highway 46
Rockaway, NJ 07866-3815

Mailing address

346 US Highway 46
Rockaway, NJ 07866-3815
Phone (973) 627-4870

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105001172 NJ Practitioner - Nurse Practitioner 4486067741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 702
Hackensack, NJ 07601-1974
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Schweiger Dermatology, PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

20 Prospect Ave
Ste 702
Hackensack, NJ 07601
Phone (201) 441-9890

401 Hackensack Ave
Ste 104
Hackensack, NJ 07601
Phone (201) 979-8910

20 Prospect Ave
Ste 200
Hackensack, NJ 07601
Phone (201) 224-0050

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

346 US Highway 46
Rockaway, NJ 07866
Phone (862) 686-6055

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1114529609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663815",
            "telephone_number": "973-627-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663815",
            "telephone_number": "973-627-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHKAN",
        "first_name": "DEEYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01077100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.