Individual provider Active NPI

Michael Denker, M.D.

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1164417580
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04868600 Issued in NJ
Practice address
751 Teaneck Rd
Teaneck, NJ 07666-4242
Phone
(201) 837-3200
Fax
(201) 837-8993
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04868600 NJ Primary

Addresses

Primary practice location

751 Teaneck Rd
Teaneck, NJ 07666-4242

Mailing address

751 Teaneck Rd
Teaneck, NJ 07666-4242
Phone (201) 837-3200

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
I20100924000196 NJ Practitioner - Internal Medicine 0345212932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Primary Care and Specialty Associates PCGroup PAC ID 4082847447, 44 clinicians

Practice addresses (Care Compare)

354 Old Hook Rd
Suite 102
Westwood, NJ 07675-3247
Phone (201) 358-0400

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

751 Teaneck Rd
Teaneck, NJ 07666-4242
Phone (201) 837-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04868600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Primary Care and Specialty Associates, PC Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

751 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-0006

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

354 Old Hook Rd
Ste 102
Westwood, NJ 07675
Phone (201) 358-0400

Organizations & group practices 1

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 6

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1164417580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664242",
            "telephone_number": "201-837-3200",
            "fax_number": "201-837-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664242",
            "telephone_number": "201-837-3200",
            "fax_number": "201-837-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENKER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04868600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.