NPIMap

Individual provider Active NPI

Deepak Dhaliwal

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1194133710
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10820400 Issued in NJ
Practice address
2 Lincoln Hwy Ste 302
Edison, NJ 08820-3904
Phone
(732) 679-9950
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52049 AZ
Internal Medicine Physician 207R00000X 25MA10820400 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy Ste 302
Edison, NJ 08820-3904

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792

Other practice location 1

7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone (520) 721-5777 ext. 70132

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
I20200710002396 NJ Practitioner - Internal Medicine 3173810876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

2 Lincoln Hwy
Suite 302
Edison, NJ 08820-3904
Phone (732) 679-9950

Hospital & facility affiliations

  • Vitality Hospice and Palliative Care Hospice, Burlington, NJ, CCN 311588
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Hackensack Meridian Ltach Long-term care hospital, Perth Amboy, NJ, CCN 312025
  • Venetian Care & Rehabilitation Center, LLC Nursing home, South Amboy, NJ, CCN 315518
  • Preferred Care at Old Bridge, LLC Nursing home, Old Bridge, NJ, CCN 315321

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52049AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Mar 5, 2022 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Jan 13, 2023 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

65 James St
Edison, NJ 08820
Phone (732) 321-7010

2 State Route 27
Ste 302
Edison, NJ 08820
Phone (732) 421-8422

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

26 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 257-1600

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1194133710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 302",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203904",
            "telephone_number": "732-679-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7091 E Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101241",
            "country_code": "US",
            "telephone_number": "520-721-5777 x70132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "DEEPAK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10820400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.