Active NPI
Dignicare Medical PLLC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1144361163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1724301
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05762 | Other | NY | GHI MEDICARE |
| 02377035 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nephrology Physician
- New York, NY
- NPI 1215906078
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.