Deepak Srinivasan, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA06740000 Issued in NJ

Legal business name

DEEPAK SRINIVASAN, P.C.

Practice address

11-10 5TH St
Fair Lawn, NJ 07410-1473

Phone

(201) 312-7682

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Deepak Srinivasan, M.D.NPI 1467465831

Title

President

Phone

(201) 312-7682

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deepak Srinivasan, M.D.

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
  • NPI 1467465831
  NPD (past) Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1386879542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-10 5TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101473",
            "telephone_number": "201-312-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-10 5TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101473",
            "telephone_number": "201-312-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK SRINIVASAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-312-7682",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA06740000",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA06740000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018180",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie De Torres, LCSW
• Lashauna Dean, PH.D.
• Fritzie Concepcion Deang, PT
• Vincent Michael Debitetto
• Debra Ibrahim, D.O., LLC
• Courtney Jean Defeo, ATC
• Justina M Deitz, D.O.
• Matthew Delbert, MD
• Najwa Demartino, LSW
• Dental Professionals of Fair Lawn PA

• Cardiovascular Disease Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.