Active NPI
Despina Psillides, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Flemington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 25MA08767200
- Practice address
- 2100 Wescott Dr
Flemington, NJ 08822-4603 - Phone
- (201) 694-8247
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 247188 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA08767200 | NJ | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA08767200 | NJ | Primary |
Addresses
Primary practice location
2100 Wescott Dr
Flemington, NJ 08822-4603
Mailing address
2100 Wescott Dr
Flemington, NJ 08822-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
221 County Rd
Cresskill, NJ 07626-1605
Phone (201) 567-9310
Hospital & facility affiliations
- Valley Home Care Inc.
- Amedisys Home Health
- Visiting Nurse Association of Englewood, Inc
- Englewood Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247188 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
| Rockland Cardiology PC | Past | Accepting new patients |
Locations
221 County Rd
Cresskill, NJ 07626
Phone (201) 567-9310
590 Old Hook Rd
Emerson, NJ 07630
Phone (201) 986-9009
24 Elm St
Harrington Pk, NJ 07640
Phone (201) 784-0123
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
2 Crosfield Ave
Ste 407
West Nyack, NY 10994
Phone (845) 353-5050
Interoperability endpoints
- dpsillides236704@direct.englewoodhealth.org
Organizations & group practices 2
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.
-
- Interventional Cardiology Physician
- West Nyack, NY
- NPI 1467538827
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
-
- Home Health Agency
- Englewood, NJ
- NPI 1376528224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1174758668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WESCOTT DR",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WESCOTT DR",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224603",
"telephone_number": "201-694-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSILLIDES",
"first_name": "DESPINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "247188",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08767200",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MA08767200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.