Paul T Dierlam, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA05562800 Issued in NJ

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 852-5100

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Anesthesiology

Education

State University of New York Downstate Medical Center, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Canj Anesthesia LLC

  • Anesthesiology Physician
  • Secaucus, NJ
  • NPI 1881353662
  Medicare reassignment Care Compare group NPD
• Metropolitan Pain Consultants, LLC

  • Interventional Pain Medicine Physician
  • Lyndhurst, NJ
  • NPI 1639355621
  Medicare reassignment NPD
• Centurion Anesthesia Surgical Centers LLC

  • Anesthesiology Physician
  • Valley Stream, NY
  • NPI 1326707100

  NJ

  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487679551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13497",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071880001",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-852-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERLAM",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05562800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Designrx LLC (PVP Pharmacy)
• Gary John Devine, D.O.
• Isabella Dibernard
• Adam Dick, M.D.
• Scott A Dieck, R.PH
• Jillian M Diionno, PA-C
• Jeffrey T Dillon, MSPT
• Kimberly Ann Dillon, MSPT
• Virginia Dinsmore
• Doctors at Riverside (Riverside Medical)

• Anesthesiology Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.