DR. DEEPAK SRINIVASAN (NPI# 1467465831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467465831 |
| Entity Type | Individual |
| Full Name | DR. DEEPAK SRINIVASAN |
| Credential | M.D. |
| Practice Address |
11-10 5th St Fair Lawn NJ 07410-1473 |
| Practice Telephone | 2013127682 |
| Mailing Telephone | 2013127682 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA06740000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MA06740000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0018180 | 05 |
| Street Address |
11-10 5TH ST |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386879542 | Deepak Srinivasan, P.C. | Internal Medicine | 11-10 5th St, Fair Lawn, NJ 07410-1473 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326330606 | David Robert Chabbott | Internal Medicine | 22-18 Broadway Ste 201, Fair Lawn, NJ 07410-3016 | 2011-05-05 |
| 1336302447 | Rima Dipak Patel | Internal Medicine | 22-18 Broadway Ste 101, Fair Lawn, NJ 07410-3016 | 2008-07-08 |
| 1144270323 | Alexander E Kasatkin | Internal Medicine | 28-02 Fair Lawn Ave, Fair Lawn, NJ 07410-3402 | 2006-05-11 |
| 1043762461 | Horizon Cardiology LLC | Internal Medicine | 10-14 Saddle River Rd, Fair Lawn, NJ 07410-5728 | 2016-11-02 |
| 1336425057 | Ali Ahmad | Internal Medicine | 31-00 Broadway, Fair Lawn, NJ 07410-3963 | 2011-10-26 |
| 1457501363 | Satish Reddy Tiyyagura | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2008-09-27 |
| 1801044557 | Soung Ick Cho | Internal Medicine | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2008-09-07 |
| 1568626877 | Hartaj S Virk | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2008-07-16 |
| 1649437856 | Aderemi Soyombo | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2008-05-16 |
| 1841325958 | Alexander Kasatkin M.d. P.C. | Internal Medicine | 28-02 Fair Lawn Ave, Fair Lawn, NJ 07410-3402 | 2007-02-22 |
| Find all providers in FAIR LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.