Individual provider Active NPI

Derek W Santiago, MD

  • Cardiovascular Disease Physician
  • Morristown, NJ
National Provider Identifier
1649244732
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06404600 Issued in NJ
Practice address
435 South St Ste 120
Morristown, NJ 07960-6482
Phone
(973) 292-1020
Fax
(973) 292-9405
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA06404600 NJ
Cardiovascular Disease Physician 207RC0000X 25MA06404600 NJ Primary

Addresses

Primary practice location

435 South St Ste 120
Morristown, NJ 07960-6482

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (443) 621-7358

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
I20110119000241 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9830097245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5915

435 S St
Suite 100
Morristown, NJ 07960-6440
Phone (973) 267-3944

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Consultants, P.a. CurrentSince Mar 2, 2015 Accepting new patients
Practice Associates Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Ahs Hospital Corp PastSince Mar 12, 2024 Accepting new patients
Morristown Cardiology Assoc PA Cardiovascular Disease PastSince Mar 1, 2019 Accepting new patients
NJ Bariatric Institute LLC PastSince Feb 27, 2017 Accepting new patients

Locations

100 Commerce Pl
Ste 100
Clark, NJ 07066
Phone (732) 499-8128

435 South St
Ste 240A
Morristown, NJ 07960
Phone (973) 290-1020

435 South St
Ste 100
Morristown, NJ 07960
Phone (973) 267-3944

435 South St
Ste 120
Morristown, NJ 07960
Phone (973) 290-1020

435 South St
Ste 110
Morristown, NJ 07960

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1649244732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "443-621-7358",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 120",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606482",
            "telephone_number": "973-292-1020",
            "fax_number": "973-292-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DEREK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06404600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06404600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.