NPIMap

Organization Active NPI

Deepen Medical Service

  • Health Service Clinic/Center
  • Princeton, NJ
National Provider Identifier
1720876477
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DEEPEN MEDICAL SERVICE
Practice address
5 Tanner Dr
Princeton, NJ 08540-9488
Phone
(732) 824-2803
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Sweta Goradia, PA-CNPI 1164643615
Title
Ceo
Phone
(732) 824-2803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5 Tanner Dr
Princeton, NJ 08540-9488

Mailing address

5 Tanner Dr
Princeton, NJ 08540-9488
Phone (732) 824-2803

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1720876477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TANNER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409488",
            "telephone_number": "732-824-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TANNER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409488",
            "telephone_number": "732-824-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPEN MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "GORADIA",
        "authorized_official_first_name": "SWETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-824-2803",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.