Active NPI
Deepak Valjibhai Patel, M.D.
- Orthopaedic Surgery Physician
- Secaucus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25MA07527300
- Practice address
- 34 Creekside CT
Secaucus, NJ 07094-3750 - Phone
- (201) 463-3439
- NPI assigned
- Jun 29, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07527300 | NJ | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA07527300 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 25MA07527300 | NJ | Primary |
Addresses
Primary practice location
34 Creekside CT
Secaucus, NJ 07094-3750
Mailing address
34 Creekside CT
Secaucus, NJ 07094-3750
Phone (201) 463-3439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07527300 | NJ | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical Group PC | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Current | Accepting new patients | |
| Surgicore, LLC | Past | Accepting new patients |
Locations
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Ambulatory Surgical Clinic/Center
- Saddle Brook, NJ
- NPI 1659731933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1447288378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CREEKSIDE CT",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943750",
"telephone_number": "201-463-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CREEKSIDE CT",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943750",
"telephone_number": "201-463-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEEPAK",
"middle_name": "VALJIBHAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07527300",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA07527300",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA07527300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.