Individual provider Active NPI

Deepali Patel, OD

  • Optometrist
  • Newark, NJ
National Provider Identifier
1447736756
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00681500 Issued in NJ
Practice address
279 Ferry St
Newark, NJ 07105-3400
Phone
(973) 344-2212
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00681500 NJ Primary

Addresses

Primary practice location

279 Ferry St
Newark, NJ 07105-3400

Mailing address

73 Thorne St
Jersey City, NJ 07307-3522

Other practice location 1

106 Ferry St
Newark, NJ 07105-2106
Phone (973) 344-2212

Other practice location 2

906 Oak Tree Ave Ste I
South Plainfield, NJ 07080-5127
Phone (908) 222-8700

Other identifiers 1

IdentifierTypeStateIssuer
27OA00681500MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017000060 NJ Practitioner - Optometry 3072865245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye Professionals, LLCGroup PAC ID 9739364001, 7 clinicians

Practice addresses (Care Compare)

906 Oak Tree Ave
Suite I
South Plainfield, NJ 07080-5127
Phone (908) 222-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty MD Inc CurrentSince Sep 12, 2018 Accepting new patients
NJ Eye Professionals, LLC CurrentSince Sep 12, 2018 Accepting new patients
DDP Acute Care Services Professional Corporation Current Accepting new patients

Locations

40 Union Ave
Ste 102
Irvington, NJ 07111
Phone (973) 374-3345

279 Ferry St
Newark, NJ 07105
Phone (973) 344-2212

106 Ferry St
Newark, NJ 07105
Phone (973) 589-0104

150 Maple Ave
South Plainfield, NJ 07080
Phone (732) 742-4638

906 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 222-3506

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

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.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1447736756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THORNE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053400",
            "telephone_number": "973-344-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Ferry St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071052106",
            "country_code": "US",
            "telephone_number": "973-344-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 Oak Tree Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "South Plainfield",
            "state": "NJ",
            "postal_code": "070805127",
            "country_code": "US",
            "telephone_number": "908-222-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPALI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00681500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27OA00681500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.