Active NPI
Deepak Venkataraman, M.D.
- Student in an Organized Health Care Education/Training Program
- Mullica Hill, NJ
National Provider Identifier
1417842030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 700 Mullica Hill Road Inspira Health Mullica Hill, Grad
Mullica Hill, NJ 08062 - Phone
- (856) 508-3291
- NPI assigned
- Jun 12, 2025
- Reactivated
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
700 Mullica Hill Road Inspira Health Mullica Hill, Grad
Mullica Hill, NJ 08062
Mailing address
700 Mullica Hill Road Inspira Health Mullica Hill, Grad
Mullica Hill, NJ 08062
Phone (856) 508-3291
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1417842030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MULLICA HILL ROAD INSPIRA HEALTH MULLICA HILL, GRAD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "08062",
"telephone_number": "856-508-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MULLICA HILL ROAD INSPIRA HEALTH MULLICA HILL, GRAD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "08062",
"telephone_number": "856-508-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATARAMAN",
"first_name": "DEEPAK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-12",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"deactivation_date": "2026-06-15",
"reactivation_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.