Individual provider Active NPI

Dipti V Padhiar, NP-C

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1770027690
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00688800 Issued in NJ
Practice address
394 University Ave
Newark, NJ 07102-1221
Phone
(973) 877-6121
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00688800 NJ Primary

Addresses

Primary practice location

394 University Ave
Newark, NJ 07102-1221

Mailing address

394 University Ave
Newark, NJ 07102-1221
Phone (973) 877-6121

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
I20170223000892 NJ Practitioner - Nurse Practitioner 0244514008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00688800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Newark CurrentSince Dec 7, 2016 Accepting new patients
City of Newark CurrentSince Dec 7, 2016 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
City of Newark Past Accepting new patients
City of Newark Past Accepting new patients
University Hospital Past Accepting new patients

Locations

394 University Ave
Newark, NJ 07102
Phone (800) 734-7083

701 S Orange Ave
Newark, NJ 07106
Phone (800) 734-7083

110 William St
Newark, NJ 07102
Phone (973) 424-4271

Interoperability endpoints

  • Direct secure messaging: dipti.padhiar.p1@direct.memhc.nextgenshare.com

Organizations & group practices 6

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1770027690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 UNIVERSITY AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021221",
            "telephone_number": "973-877-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 UNIVERSITY AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021221",
            "telephone_number": "973-877-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADHIAR",
        "first_name": "DIPTI",
        "middle_name": "V",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00688800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.