Individual provider Active NPI

Devarajan P. Iyengar, M.D.

  • Hematology & Oncology Physician
  • Bayonne, NJ
National Provider Identifier
1689620700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA38585 Issued in NJ
Practice address
27 E 29TH St
Bayonne, NJ 07002-4654
Phone
(201) 858-1211
Fax
(201) 858-4171
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA38585 NJ Primary

Addresses

Primary practice location

27 E 29TH St
Bayonne, NJ 07002-4654

Mailing address

9 Chelsea Dr
Livingston, NJ 07039-3424
Phone (201) 858-1211

Other identifiers 1

IdentifierTypeStateIssuer
1839802MedicaidNJ

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
I20050616000067 NJ Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 3375587728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iyengar Hematology Oncology Medical Center PAGroup PAC ID 3678617198, 2 clinicians

Practice addresses (Care Compare)

27 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-1211

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Bayonne, NJ, CCN 317006
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA38585NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iyengar Hematology Oncology Medical Center PA Hematology & Oncology CurrentSince Aug 15, 1998 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Iyengar Hematology Oncology Medical Center LLC Hematology & Oncology Past Accepting new patients
Hematology Oncology Affiliates LLC Past Accepting new patients

Locations

27 E 29th St
Bayonne, NJ 07002
Phone (201) 436-6100

Interoperability endpoints

  • Direct secure messaging: devarajan.iyengar@ihome.ikm.direct-ci.com
  • Direct secure messaging: devarajan.iyengar@direct.bayonnemedicalcenter.md

Organizations & group practices 4

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689620700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHELSEA DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393424",
            "telephone_number": "201-858-1211",
            "fax_number": "201-858-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-1211",
            "fax_number": "201-858-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "DEVARAJAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA38585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.