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
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

Other identifiers 6

IdentifierTypeStateIssuer
D06424500OtherNJNJ CDS LICENSE
01391726MedicaidNY
4273397OtherECFMG NUMBER
189494OtherNYNY LICENSE
6149806MedicaidNJ
MA06036000OtherNJNJ LICENSE

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06036000NJMDInternal Medicine Physician

Practice roles (8 of 12)

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

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

4522 Kennedy Blvd
Ste A
Union City, NJ 07087

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

Networks

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

Interoperability endpoints

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

Organizations & group practices 8

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 14

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

View all 14

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., LLC 3 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Promise Care NJ Home health agency, West New York, NJ, CCN 317064
  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • VHS Hospice Services of New Jersey Hospice, Woodland Park, NJ, CCN 311508
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Optima Care Fountains Nursing home, Secaucus, NJ, CCN 315476
  • Optima Care Castle Hill Nursing home, Union City, NJ, CCN 315344
  • Complete Care at Harborage LLC Nursing home, North Bergen, NJ, CCN 315307
  • Hoboken University Medical Center Tcu Nursing home, Hoboken, NJ, CCN 315512
  • Optima Care Harborview Nursing home, Jersey City, NJ, CCN 315310

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CDS LICENSE",
            "identifier": "D06424500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01391726",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "4273397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "189494",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6149806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "MA06036000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.