Organization Active NPI

Dignicare Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1144361163
Registry record updated Aug 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1724301 Issued in NY
Legal business name
DIGNICARE MEDICAL PLLC
Practice address
2060 E 61St St
Apt 1
Brooklyn, NY 11234-5908
Phone
(347) 254-6462
Fax
(718) 306-5238
NPI assigned
Feb 11, 2007
Last updated
Aug 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2010

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

Authorized official

Name
Dr. Stephanie Dejesus, M.D.
Title
Member/Owner
Phone
(347) 254-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1724301 NY Primary

Addresses

Primary practice location

2060 E 61St St
Apt 1
Brooklyn, NY 11234-5908

Mailing address

2060 E 61St St
Apt 1
Brooklyn, NY 11234-5908
Phone (347) 254-6462

Other identifiers 2

IdentifierTypeStateIssuer
05762OtherNYGHI MEDICARE
02377035MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280620800000",
    "number": "1144361163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E 61ST ST",
            "address_2": "APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345908",
            "telephone_number": "347-254-6462",
            "fax_number": "718-306-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E 61ST ST",
            "address_2": "APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345908",
            "telephone_number": "347-254-6462",
            "fax_number": "718-306-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNICARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2010-08-01",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "347-254-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1724301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "05762",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377035",
            "state": "NY"
        }
    ],
    "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 Aug 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.