Organization Active NPI

Devendra K Amin MD PC

  • Interventional Cardiology Physician
  • Phillipsburg, NJ
National Provider Identifier
1740478841
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD038845E Issued in PA
Legal business name
DEVENDRA K AMIN MD PC
Practice address
59 Roseberry St
Phillipsburg, NJ 08865-1627
Phone
(610) 252-2588
Fax
(610) 252-7951
NPI assigned
Oct 15, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Theresa M Roth
Title
Billing Representative
Phone
(610) 258-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X MD038845E PA Primary

Addresses

Primary practice location

59 Roseberry St
Phillipsburg, NJ 08865-1627

Mailing address

PO Box 108
Phillipsburg, NJ 08865-0108
Phone (610) 258-2588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000098 NJ Part B Supplier - Clinic/Group Practice 9234109414 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Devendra K Amin MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3735 Nazareth Rd
Ste 302
Easton, PA 18045
Phone (610) 258-2588

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1740478841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088650108",
            "telephone_number": "610-258-2588",
            "fax_number": "610-252-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651627",
            "telephone_number": "610-252-2588",
            "fax_number": "610-252-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVENDRA K AMIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "610-258-2588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD038845E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.