Shereelah Deen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47047 Issued in NJ

Practice address

372 Valley Rd
West Orange, NJ 07052-5303

Phone

(973) 324-1190

Fax

(973) 736-8355

NPI assigned

Aug 2, 2006

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optima Care Fountains Nursing home, Secaucus, NJ, CCN 315476

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  Medicare reassignment Care Compare group
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  Internal Medicine, NJ

  Medicare reassignment NPD
• Optum Medical Care of New Jersey PC

  dba Riverside Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Abbassi and Agrama P C

  • Primary Care Clinic/Center
  • West Orange, NJ
  • NPI 1225201684

  Internal Medicine

  NPD (past)
• Consolidated Diagnostic and Imaging PC

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1487814885

  Internal Medicine

  NPD (past)

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

• Optima Care Secaucus, LLC

  dba Optima Care Fountains

  • Skilled Nursing Facility
  • Secaucus, NJ
  • NPI 1811658354

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1649287756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525303",
            "telephone_number": "973-324-1190",
            "fax_number": "973-736-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525303",
            "telephone_number": "973-324-1190",
            "fax_number": "973-736-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "SHEREELAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "47047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Rose Dearie, MA
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• Edward M Decter, M.D.
• Effie Zantopoulos Deegan, D.M.D.
• Rebecca Defrance, MS, CCC-SLP
• Doreen Evelyn Degraaff, M.D.
• Jaceline D Dejean, DPT
• Paulina N Del Pino
• Melissa Ann Delacruz, PT, DPT

• Internal Medicine Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.