Active NPI
Delan Trevor Dealwis, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 259712
- Practice address
- 7601 4TH Ave
Brooklyn, NY 11209-3207 - Phone
- (718) 238-7000
- NPI assigned
- Jan 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 259712 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25MA09121000 | NJ |
Addresses
Primary practice location
7601 4TH Ave
Brooklyn, NY 11209-3207
Mailing address
7601 4TH Ave
Brooklyn, NY 11209-3207
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01080395 | Other | NJ | RR MEDICARE |
| 0302040 | Medicaid | NJ | |
| P01080386 | Other | NJ | RR MEDICARE |
| P01080379 | Other | NJ | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Boston University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Atlantic Ave
Atlantic City, NJ 08401-7022
Phone (609) 572-6000
234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.06 of 100
- Quality
- 84.68
- Improvement activities
- 40
- Cost
- 71.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Atlantic Radiologists Professional Association LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ami Atlanticare LLC | Current | Accepting new patients |
Locations
1401 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 441-7088
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
2500 English Creek Ave
Ste 400
Egg Hbr Twp, NJ 08234
Phone (609) 677-7700
44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349
219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Atlantic City, NJ
- NPI 1841438728
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Radiology Clinic/Center
- Hammonton, NJ
- NPI 1275762023
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
- Clinic/Center
- New York, NY
- NPI 1538943469
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1013924372
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1033414487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093207",
"telephone_number": "718-238-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEALWIS",
"first_name": "DELAN",
"middle_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-17",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "259712",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09121000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01080395",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0302040",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01080386",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01080379",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.