Active NPI
Albert Andre Deneve, MD
- Hematology & Oncology Physician
- Ridgewood, NJ
National Provider Identifier
1558453498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 25MA04896500
- Practice address
- 143 E Ridgewood Ave Unit 539
Ridgewood, NJ 07451-7026 - Phone
- (201) 251-9030
- Fax
- (201) 251-9032
- NPI assigned
- Sep 29, 2006
- Last updated
- May 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 25MA04896500 | NJ | Primary |
Addresses
Primary practice location
143 E Ridgewood Ave Unit 539
Ridgewood, NJ 07451-7026
Mailing address
143 E Ridgewood Ave Unit 539
Ridgewood, NJ 07451-7026
Phone (201) 251-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 707772 | Other | NJ | MEDICARE PTAN |
| 6068006 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Housestaff | Past | Accepting new patients | |
| Valley Medical Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valley Medical Group
- Internal Medicine Physician
- Ridgewood, NJ
- NPI 1285681221
-
dba St Vincents Catholic Medical Center
- Family Medicine Physician
- Elmhurst, NY
- NPI 1063572212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1558453498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 E RIDGEWOOD AVE UNIT 539",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074517026",
"telephone_number": "201-251-9030",
"fax_number": "201-251-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 E RIDGEWOOD AVE UNIT 539",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074517026",
"telephone_number": "201-251-9030",
"fax_number": "201-251-9032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEVE",
"first_name": "ALBERT",
"middle_name": "ANDRE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "25MA04896500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "707772",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6068006",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.