NPIMap

Individual provider Active NPI

Devendra Kanaiyalal Amin, MD

  • Specialist
  • Easton, PA
National Provider Identifier
1760452973
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD038845E Issued in PA
Practice address
3735 Easton Nazareth Rd
Suite 302
Easton, PA 18045
Phone
(610) 258-2588
Fax
(610) 258-3946
NPI assigned
Jan 23, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05883400 NJ
Specialist 174400000X MD038845E PA Primary

Addresses

Primary practice location

3735 Easton Nazareth Rd
Suite 302
Easton, PA 18045

Mailing address

3735 Nazareth Rd
Ste 302
Easton, PA 18045-8338
Phone (610) 258-2588

Other identifiers 2

IdentifierTypeStateIssuer
0014381760001MedicaidPA
6018904MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050216000518 NJ Practitioner - Cardiovascular Disease (Cardiology) 2163474388 Reassigns benefits to 1 organization
I20080502000436 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 2163474388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3735 Nazareth Rd
Suite 302
Easton, PA 18045-8347
Phone (610) 258-2588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.92 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05883400NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Devendra K Amin MD, PC CurrentSince Sep 29, 2003 Accepting new patients
Devendra K Amin MD PC CurrentSince Oct 19, 1993 Accepting new patients

Locations

870 Green St
Phillipsburg, NJ 08865
Phone (610) 330-2630

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1760452973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "STE 302",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "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": "3735 EASTON NAZARETH RD",
            "address_2": "SUITE 302",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-258-2588",
            "fax_number": "610-258-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "DEVENDRA",
        "middle_name": "KANAIYALAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05883400",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038845E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014381760001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6018904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.