Individual provider Active NPI

Hardeep Singh Deol

  • Gerontology Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1760064729
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01139400 Issued in NJ
Practice address
225 Fredrick St
Paramus, NJ 07652-4548
Phone
(201) 673-2693
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ01139400 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ01139400 NJ Primary

Addresses

Primary practice location

225 Fredrick St
Paramus, NJ 07652-4548

Mailing address

225 Fredrick St
Paramus, NJ 07652-4548
Phone (201) 673-2693

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407002739 NJ Practitioner - Nurse Practitioner 6709272321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Gastroenterology Center PCGroup PAC ID 8022233808, 2 clinicians

Practice addresses (Care Compare)

1300 Main Ave
Suite 1B
Clifton, NJ 07011-2266
Phone (973) 689-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01139400NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Gastroenterology Center PC CurrentSince Jan 1, 2022 Accepting new patients
Nilay Shah MD PC Past Accepting new patients

Locations

1300 Main Ave
Ste 1B
Clifton, NJ 07011
Phone (973) 689-6700

510 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 689-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1760064729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FREDRICK ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524548",
            "telephone_number": "201-673-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FREDRICK ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524548",
            "telephone_number": "201-673-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOL",
        "first_name": "HARDEEP",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01139400",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01139400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.