Individual provider Active NPI

Deidre Evelyn Emerich, FNP-BC

  • Family Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1396375564
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01006000 Issued in NJ
Practice address
601 Ewing St
Princeton, NJ 08540-2757
Phone
(609) 759-8500
Fax
(609) 759-8501
NPI assigned
Jan 16, 2020
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025638 PA
Family Nurse Practitioner 363LF0000X 26NJ01006000 NJ Primary

Addresses

Primary practice location

601 Ewing St
Princeton, NJ 08540-2757

Mailing address

601 Ewing St
Princeton, NJ 08540-2757
Phone (609) 759-8500

Other practice location 1

111 Floral Vale Blvd
Yardley, PA 19067-5522
Phone (445) 777-5550

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01006000OtherNJDIVISION OF CONSUMER AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200302001641 NJ Practitioner - Nurse Practitioner 6002243177 Reassigns benefits to 2 organizations
I20220707003345 PA Practitioner - Nurse Practitioner 6002243177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

601 Ewing St
Becker ENT Allergy Walnut St
Princeton, NJ 08540-2757
Phone (609) 759-8500

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01006000NJMDFamily Nurse Practitioner
SP025638PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 21, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 1, 2022 Accepting new patients
Associates in Plastic Surgery & ENT PA CurrentSince Feb 1, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 21, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Alliance Otolaryngology and Facial Plastic Surgery LLC Past Accepting new patients

Locations

1150 Amboy Ave
Edison, NJ 08837
Phone (732) 548-3200

719 US Highway 206
Ste 101
Hillsborough, NJ 08844
Phone (908) 271-2102

168 Franklin Corner Rd
Unit 110
Lawrenceville, NJ 08648
Phone (609) 299-1279

203 US Highway 9
Manalapan, NJ 07726
Phone (732) 617-1800

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

601 Ewing St
Princeton, NJ 08540
Phone (609) 759-8500

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

5 Mountain Blvd
Ste 7
Warren, NJ 07059
Phone (908) 222-8440

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

111 Floral Vale Blvd
Yardley, PA 19067
Phone (445) 777-5550

111 Floral Vale Blvd
#A
Yardley, PA 19067

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1396375564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-759-8500",
            "fax_number": "609-759-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-759-8500",
            "fax_number": "609-759-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675522",
            "country_code": "US",
            "telephone_number": "445-777-5550",
            "fax_number": "445-777-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERICH",
        "first_name": "DEIDRE",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025638",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01006000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF CONSUMER AFFAIRS",
            "identifier": "26NJ01006000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.