PAUL D. DERENZI MD – NPI #1164411773
Internal Medicine

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.

PAUL DERENZI is a physician located in MOUNTAIN LAKES, NJ. NPPES has assigned the NPI number 1164411773 to PAUL DERENZI on October 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Mar 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL DERENZI below.

NPI Profile for
PAUL D. DERENZI

NPI Number
1164411773
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL D. DERENZI
Credentials
MD
Primary location
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046-1723
Phone: (973) 334-7700 Fax: (973) 402-5847
Mailing address
PO BOX 416457
BOSTON, MA 02241-6457
Phone: (844) 362-1735 Fax: (973) 290-7495
Sole Proprietor
No
Updated
Certification Date
Mar 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAUL DERENZI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ6565701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
NJ MA59234
207RI0011X
- Internal Medicine / Interventional Cardiology
NJ MA059234

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
YALE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PAUL DERENZI is affiliated with the following medical group(s):
  • HOSPITAL
    • MORRISTOWN MEDICAL CENTER
      100 MADISON AVE
      MORRISTOWN, NJ 07960
    • SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
      25 POCONO ROAD
      DENVILLE, NJ 07834

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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