Individual provider Active NPI

Deepan N. Patel, MD

  • Orthopaedic Surgery Physician
  • Teaneck, NJ
National Provider Identifier
1912171372
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA09533500 Issued in NJ
Practice address
730 Palisade Ave
Teaneck, NJ 07666-3144
Phone
(201) 530-1004
NPI assigned
Apr 16, 2008
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA09533500 NJ Primary

Addresses

Primary practice location

730 Palisade Ave
Teaneck, NJ 07666-3144

Mailing address

235 Millburn Ave 102
Millburn, NJ 07041-1711
Phone (973) 258-1177

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000841 NJ Practitioner - Orthopedic Surgery 1951529049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Pain Control Center PAGroup PAC ID 4385624485, 10 clinicians

Practice addresses (Care Compare)

1117 Route 46 E
Suite 301
Clifton, NJ 07013-2450
Phone (973) 777-5444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09533500NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Sovereign Medical Group LLC CurrentSince Mar 27, 2017 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Mar 27, 2017 Accepting new patients
Garden State Pain Control Center P.a. CurrentSince Mar 1, 2019 Accepting new patients

Locations

630 Broad St
#2
Carlstadt, NJ 07072
Phone (201) 985-8967

1117 US Highway 46
Ste 201
Clifton, NJ 07013
Phone (973) 365-2208

1117 US Highway 46
Ste 301
Clifton, NJ 07013
Phone (973) 777-5444

25 Main St
Ste 12
Edison, NJ 08837
Phone (732) 376-0330

631 Grand St
Ste 2100
Jersey City, NJ 07304
Phone (201) 706-2033

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

443 Northfield Ave
Ste 302
West Orange, NJ 07052
Phone (973) 777-5444

Interoperability endpoints

  • Direct secure messaging: deepan.patel@direct.hobokenumc.md

Organizations & group practices 4

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1912171372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411711",
            "telephone_number": "973-258-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663144",
            "telephone_number": "201-530-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPAN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09533500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.