Adriana Nicole Deschamps, PA-C
Individual provider Active NPI Physician Assistant · Union City, NJ
NPI 1801249651 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1801249651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00403000 (NJ)
- Practice address
- 3807 Bergenline Avenue
Union City, NJ 07087 - Phone
- (201) 414-6277
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excel Urgent Care of Paramus LLC
Am PM Walk in Urgent Care Clinic
Doctors Office of West Caldwell LLC
Practice addresses (Care Compare)
110 E Ridgewood Ave
Paramus, NJ 07652-4025
Phone (201) 265-9500
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177
21 -20 Broadway
Fair Lawn, NJ 07410-3017
Phone (551) 444-6010
556 Passaic Ave
West Caldwell, NJ 07006-7449
Phone (973) 808-2273
587 Cedar Lane
Teaneck, NJ 07666-1701
Phone (201) 387-0177
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208000555 | NJ | Practitioner - Physician Assistant | 3779863725 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00403000 | NJ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Group of New Jersey, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00403000 | NJ | |
| Physician Assistant | 363A00000X | 25MP00403000 | NJ | Yes |
Addresses
Primary practice location
3807 Bergenline Avenue
Union City, NJ 07087
Mailing address
25 Prospect Ave
Hackensack, NJ 07601-1960
Phone (201) 343-2277
Other names
- Adriana Nicole Hache
Other providers in Union City, NJ
- Demetrios Econopouly, DPM PC
- Dental World LLC
- Dentismiles, LLC
- Ahyme Depaz-Starcic
- Jagruti Desai
- Marie Jean Destefan
- Varinder Dhillon
- Diaz Chiropractic Center LLC
- Valentin A Diaz
- Yoska T Diaz
All providers in Union City, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.