Edward Brady Desciak, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

2167151 Issued in NY

Practice address

7 Medical Park Dr
Pomona, NY 10970-3562

Phone

(845) 354-1169

Fax

(845) 362-5126

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

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

Specialty

Dermatology

Education

Pennsylvania State University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Yehuda D. Eliezri, M.D. P.C.

  • Procedural Dermatology Physician
  • Pomona, NY
  • NPI 1326077538
  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1124062922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCIAK",
        "first_name": "EDWARD",
        "middle_name": "BRADY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "2167151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Delahanty, COTA/L
• John Robert Delisi, D.C.
• Patricia Dellagreca, RN
• Dental Arts Associate, P.C
• Dermatologic Surgery at Crystal Run
• Vijaya Deshpande
• Sharon Desimone-O'Dowd, RN
• Joseph Eli Deutsch, M.D.
• Digestive Disease Associates of Rockland PC
• Dini Wigs LLC

• Procedural Dermatology Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.

Verify at the official NPI Registry.