Deepak Srinivasan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA06740000 Issued in NJ

Practice address

11-10 5TH St
Fair Lawn, NJ 07410-1473

Phone

(201) 312-7682

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Deepak Srinivasan, P.C.

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
  • NPI 1386879542
  NPD (past) Authorized official
• Continental Health Care LLC

  • Legal Medicine
  • Hackensack, NJ
  • NPI 1871728402
  NPD (past)
• Hackensack Cardiovascular Group, P.C

  • Cardiovascular Disease Physician
  • Hackensack, NJ
  • NPI 1790810703
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1467465831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-10 5TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101473",
            "telephone_number": "201-312-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-10 5TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101473",
            "telephone_number": "201-312-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA06740000",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA06740000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018180",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speakeasy Speech and Swallow, LLC
• Speech Is US LLC
• Speech Therapy Plus LLC
• Shoshana Sperling Tennenberg, PSY.D
• Arnold Arthur Sperling, ED.D, APN
• Chloe St. Laurent, OTR/L
• Staffingplus Inc
• Chelsea Stahl-Sapin
• Jerry H Stahl, DMD
• Alyssa Staniland, LSW

• Cardiovascular Disease Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.

Verify at the official NPI Registry.