Individual provider Active NPI

Steven T. Deak, M.D., PH. D

  • Specialist
  • Somerset, NJ
National Provider Identifier
1548274111
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA03577100 Issued in NJ
Practice address
37 Clyde Rd
Suite 102
Somerset, NJ 08873-5034
Phone
(732) 873-0200
Fax
(732) 873-0255
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA03577100 NJ Primary
General Acute Care Hospital 282N00000X MA03577100 NJ

Addresses

Primary practice location

37 Clyde Rd
Suite 102
Somerset, NJ 08873-5034

Mailing address

37 Clyde Rd
Suite 102
Somerset, NJ 08873-5034
Phone (732) 873-0200

Other identifiers 1

IdentifierTypeStateIssuer
3267601MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000757 NJ Practitioner - General SurgeryPractitioner - Vascular Surgery 4981631413 Practice locations: Somerset, NJ

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Kentucky College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 Clyde Rd
Somerset, NJ 08873-5034
Phone (732) 873-0200

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA03577100NJMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1548274111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLYDE RD",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735034",
            "telephone_number": "732-873-0200",
            "fax_number": "732-873-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLYDE RD",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735034",
            "telephone_number": "732-873-0200",
            "fax_number": "732-873-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAK",
        "first_name": "STEVEN",
        "middle_name": "T.",
        "credential": "M.D., PH. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA03577100",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "MA03577100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3267601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.