Individual provider Active NPI

Deepali Kishore Hattangadi, M.S.

  • Pharmacist
  • Edison, NJ
National Provider Identifier
1316269145
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03145100 Issued in NJ
Practice address
120 Fieldcrest Ave
Edison, NJ 08837-3656
Phone
(732) 346-2600
NPI assigned
Feb 21, 2010
Last updated
Feb 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03145100 NJ Primary

Addresses

Primary practice location

120 Fieldcrest Ave
Edison, NJ 08837-3656

Mailing address

102 Cobblestone CT
Monmouth Junction, NJ 08852-1948
Phone (609) 977-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28RI03145100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care 4 LP Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1316269145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COBBLESTONE CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521948",
            "telephone_number": "609-977-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FIELDCREST AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373656",
            "telephone_number": "732-346-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTANGADI",
        "first_name": "DEEPALI",
        "middle_name": "KISHORE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03145100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.