Active NPI
Devendra K Amin MD PC
- Interventional Cardiology Physician
- Phillipsburg, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD038845E
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Easton, PA
- NPI 1518004431
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.
-
- Cardiovascular Disease Physician
- Honesdale, PA
- NPI 1205864550
-
- Interventional Cardiology Physician
- Allentown, PA
- NPI 1851361810
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.