John Thomas Dedousis Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA51855 Issued in NJ

Practice address

1166 Kennedy Blvd.
Bayonne, NJ 07002-3112

Phone

(201) 339-1133

Fax

(201) 339-1073

NPI assigned

Oct 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Adoration Home Health Home health agency, Bayonne, NJ, CCN 317006
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.dedousis@direct.carepointhealth.org

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.

• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment Care Compare group NPD
• Compass Medical Healthcare Associates PC

  • Chiropractor
  • Bayonne, NJ
  • NPI 1659720662
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys New Jersey LLC

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Ijkg Opco LLC

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation
• Patient Care of Hudson County, LLC

  • Home Health Agency
  • Bayonne, NJ
  • NPI 1831569557
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164515706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 KENNEDY BLVD.",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023112",
            "telephone_number": "201-339-1133",
            "fax_number": "201-339-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 KENNEDY BLVD.",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023112",
            "telephone_number": "201-339-1133",
            "fax_number": "201-339-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOUSIS",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA51855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1838903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M. Feniger
• Barry Davis, O.D.
• Youssef Dawood
• Paolo J De Leon, COTA
• Daniela De Sa, LCSW
• Noah Dekoyer, D.C.
• Jeremy Del Castillo, DPT
• Danielle Del Re, PT, DPT
• Jobelle O Delbanco, RN
• Maileen Dematera, RPH

• Internal Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.