Active NPI
Deepali Patel, OD
- Optometrist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00681500
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27OA00681500 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty MD Inc | Current | Accepting new patients | |
| NJ Eye Professionals, LLC | Current | 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.
-
- Corneal and Contact Management Optometrist
- Newark, NJ
- NPI 1235004821
-
- Ophthalmology Physician
- South Plainfield, NJ
- NPI 1013092071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.