Healthcare Provider Details

I. General information

NPI: 1164863171
Provider Name (Legal Business Name): PARINITA ANIL DHERANGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 720
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

52 GOODVIET PL
GLEN ROCK NJ
07452-2513
US

V. Phone/Fax

Practice location:
  • Phone: 201-432-7837
  • Fax:
Mailing address:
  • Phone: 408-564-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMMD.85672.MD
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMMD.85672.MD
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number346171-01
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMMD.85672.MD
License Number StateSC
# 5
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number25MA12838500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: