NPIMap

Individual provider Active NPI

Deepak K Amin, MD

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1659372829
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA06036000 Issued in NJ
Practice address
4522 Kennedy Blvd
Union City, NJ 07087-2707
Phone
(201) 863-1797
Fax
(201) 863-6117
NPI assigned
Aug 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA06036000 NJ Primary
Internal Medicine Physician 207R00000X 189494 NY

Addresses

Primary practice location

4522 Kennedy Blvd
Union City, NJ 07087-2707

Mailing address

4522 Kennedy Blvd
Union City, NJ 07087-2707
Phone (201) 863-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000465 NY Practitioner - Internal Medicine 8921090739
I20050622000004 NJ Practitioner - Internal Medicine 8921090739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deepak Amin, M.D., LLCGroup PAC ID 5597813832, 3 clinicians

Practice addresses (Care Compare)

4522 Kennedy Blvd
Union City, NJ 07087-8014
Phone (201) 863-1797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06036000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Deepak Amin, M.D., LLC Internal Medicine CurrentSince Oct 1, 1994 Accepting new patients
Trinity Family Practice& Gynecology Center LLC PastSince Mar 20, 2022 Accepting new patients
Secaucus Healthcare Center LLC Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Optima Care Secaucus, LLC Past Accepting new patients
Frantz Fils Saint- Louis MD PLLC PastSince Mar 20, 2025 Accepting new patients

Locations

4522 Kennedy Blvd
Ste A
Union City, NJ 07087

745 Nostrand Ave
Brooklyn, NY 11216
Phone (718) 735-6700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: deepak.amin@direct.hobokenumc.md

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659372829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872707",
            "telephone_number": "201-863-1797",
            "fax_number": "201-863-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872707",
            "telephone_number": "201-863-1797",
            "fax_number": "201-863-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "DEEPAK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06036000",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.