Raiyan Ishraque Deepon

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P142691 Issued in NY

Practice address

353 Beach 48TH St
Far Rockaway, NY 11691-1120

Phone

(516) 862-1600

NPI assigned

Jun 20, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1073449864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E 66TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346005",
            "telephone_number": "516-505-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BEACH 48TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911120",
            "telephone_number": "516-862-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEPON",
        "first_name": "RAIYAN",
        "middle_name": "ISHRAQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P142691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Dawelbait
• Dawn Pharmacy Inc.
• Daytop Village, Inc
• Angela Debidin-Farnum, NP
• Cesar Dechoudens
• Daniella Defonte
• Dekel Medical
• Darlene Adoree Del Rosario, PT
• Rjhomi De Guzman Dela Cruz, PT
• Veronica Delarosa, NP

• Internal Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.