Individual provider Active NPI

Deepak Vasishtha, MD

  • Physical Medicine & Rehabilitation Physician
  • Nanuet, NY
National Provider Identifier
1114950540
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
231223 Issued in NY
Practice address
257 S Middletown Rd
Nanuet, NY 10954
Phone
(845) 623-8000
Fax
(845) 623-0770
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 231223 NY Primary

Addresses

Primary practice location

257 S Middletown Rd
Nanuet, NY 10954

Mailing address

257 S Middletown Rd
Nanuet, NY 10954
Phone (845) 623-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000393 NY Practitioner - Physical Medicine and Rehabilitation 9335112051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

257 S Middletown Rd
Suite 1a
Nanuet, NY 10954-3359
Phone (917) 968-0730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deepak Vasishtha Physician, P.C. CurrentSince Apr 1, 2013 Accepting new patients
Musculoskeletal Pain Management PC Physical Medicine & Rehabilitation CurrentSince Dec 7, 2005 Accepting new patients
Deepak Vasishtha Physician PC Physical Medicine & Rehabilitation Current Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Past Accepting new patients
Next Level Diagnostic LLC Past Accepting new patients
Housing Works Services II, Inc Past Accepting new patients

Locations

257 S Middletown Rd
Ste 1A
Nanuet, NY 10954

257 S Middletown Rd
Nanuet, NY 10954
Phone (845) 426-6667

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1114950540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASISHTHA",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "231223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.