Active NPI
Hardeep Singh Deol
- Gerontology Nurse Practitioner
- Paramus, NJ
National Provider Identifier
1760064729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01139400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01139400 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Gastroenterology Center PC | Current | 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.
-
- Specialist
- Clifton, NJ
- NPI 1487864021
-
- Neurology Physician
- Maywood, NJ
- NPI 1578696605
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.