Individual provider Active NPI

Nancy E Dejesus, M.D.

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1215151634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 64301 Issued in FL
Practice address
900 E Atlantic Ave
Suite 9
Delray Beach, FL 33483-6954
Phone
(561) 279-2722
Fax
(561) 279-2522
NPI assigned
Apr 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 64301 FL Primary
Family Medicine Physician 207Q00000X 188378 NY

Addresses

Primary practice location

900 E Atlantic Ave
Suite 9
Delray Beach, FL 33483-6954

Mailing address

PO Box 8256
Delray Beach, FL 33482-8256
Phone (561) 279-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050929000320 FL Practitioner - Family Practice 2961437868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 E Atlantic Ave
Suite 9
Delray Beach, FL 33483-6954
Phone (561) 279-2722

PO Box
Suite 8256
Delray Beach, FL 33482-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 64301FLMDFamily Medicine Physician
188378NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Urgent Care Centers, Inc CurrentSince Dec 1, 1997 Accepting new patients

Locations

900 E Atlantic Ave
Ste 9
Delray Beach, FL 33483
Phone (561) 279-2722

Interoperability endpoints

  • Direct secure messaging: nancy.dejesus@695218438602756.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215151634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8256",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334828256",
            "telephone_number": "561-279-2722",
            "fax_number": "561-279-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC AVE",
            "address_2": "SUITE 9",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836954",
            "telephone_number": "561-279-2722",
            "fax_number": "561-279-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 64301",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.