Organization Active NPI

Mercer Bucks Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Pennington, NJ
National Provider Identifier
1184063919
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA08756500 Issued in NJ
Legal business name
MERCER BUCKS ENDOCRINOLOGY PC
Practice address
2 Capital Way
Suite 315
Pennington, NJ 08534-2521
Phone
(732) 668-2000
NPI assigned
Jun 14, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Sudeep S Dhillon, MDNPI 1780904094
Title
Physician/Owner
Phone
(732) 668-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 25MA08756500 NJ Primary

Addresses

Primary practice location

2 Capital Way
Suite 315
Pennington, NJ 08534-2521

Mailing address

2 Capital Way
Suite 315
Pennington, NJ 08534-2521
Phone (732) 668-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000117 NJ Part B Supplier - Clinic/Group Practice 2769626233 Receives reassigned benefits from 1 practitioner
Practice locations: Pennington, NJ

National Provider Directory

National Provider Directory

Locations

2 Capital Way
Ste 315
Pennington, NJ 08534
Phone (609) 730-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1184063919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 315",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "732-668-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 315",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "732-668-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER BUCKS ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "SUDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "732-668-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA08756500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.