Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul D Derenzi, MD

Individual provider Interventional Cardiology Physician · NPI 1164411773

Paul D Derenzi, MD is a Cardiovascular Disease (Cardiology) in Mountain Lakes, New Jersey. Graduated from Yale University School of Medicine in 1986, 40 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
40
Trained at
Yale University School of Medicine
Licensed in
NJ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

415 Blvd
Mountain Lakes, NJ 07046-1723
Phone: (973) 334-7700
Fax: (973) 402-5847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MA59234 (NJ)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence MA059234 (NJ)

Record details

NPI number1164411773
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare