Organization Active NPI

Hillsborough Infectious Diseases Medicine Practice

  • Infectious Disease Physician
  • Hillsborough, NJ
National Provider Identifier
1457679110
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA07206700 Issued in NJ
Legal business name
HILLSBOROUGH INFECTIOUS DISEASES MEDICINE PRACTICE
Practice address
403 Towne Centre Dr
Hillsborough, NJ 08844-4698
Phone
(732) 979-0035
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Bharati Deka, MDNPI 1154520534
Title
President
Phone
(732) 979-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA07206700 NJ Primary

Addresses

Primary practice location

403 Towne Centre Dr
Hillsborough, NJ 08844-4698

Mailing address

2 Todd St
Hillsborough, NJ 08844-7127
Phone (732) 979-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000694 NJ Part B Supplier - Clinic/Group Practice 3274663620 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

2090 State Route 27
Ste 101
North Brunswick, NJ 08902
Phone (732) 220-0049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1457679110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TODD ST",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088447127",
            "telephone_number": "732-979-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 TOWNE CENTRE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444698",
            "telephone_number": "732-979-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH INFECTIOUS DISEASES MEDICINE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "DEKA",
        "authorized_official_first_name": "BHARATI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-979-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA07206700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.