Amin, Deepak K
Amin, Deepak K is an sole proprietor health care provider with primary practice located at 4522 Kennedy Blvd , Union City NJ 07087-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Amin, Deepak K can be contacted via phone (201) 863-1797.Contact Information
Primary practice address
4522 Kennedy Blvd
Union City NJ 07087-2707
Phone: (201) 863-1797
Fax: (201) 863-6117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA06036000 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 189494 | New York |
Profile Details
| NPI number | 1659372829 |
|---|---|
| LBN Legal business name | Amin, Deepak K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659372829 | NPPES |
| New Jersey | Other | D06424500 | NJ CDS LICENSE |
| New Jersey | MEDICAID | 01391726 | NJ CDS LICENSE |
| New Jersey | Other | 4273397 | NJ CDS LICENSE |
| New Jersey | Other | 189494 | NJ CDS LICENSE |
| New Jersey | MEDICAID | 6149806 | NJ CDS LICENSE |
| New Jersey | Other | MA06036000 | NJ CDS LICENSE |
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