NPIMap

Individual provider Active NPI

Deya N Jourdy, M.D.

  • Otolaryngology Physician
  • Tarrytown, NY
National Provider Identifier
1255580718
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
246990 Issued in NY
Practice address
200 White Plains Rd Ste 201
Tarrytown, NY 10591-5804
Phone
(914) 631-3053
Fax
(914) 631-2807
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 246990 NY Primary

Addresses

Primary practice location

200 White Plains Rd Ste 201
Tarrytown, NY 10591-5804

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000124 NY Practitioner - Otolaryngology 1052589819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246990NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Sep 1, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 1, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 1, 2016 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Otolaryngology Past Accepting new patients
Wihd Inc Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1055 Saw Mill River Rd
Ste 101
Ardsley, NY 10502
Phone 9146937636 ext. 129

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

777 N Broadway
Ste 203
Sleepy Hollow, NY 10591
Phone (212) 434-3700

358 N Broadway
Ste 203
Sleepy Hollow, NY 10591
Phone (914) 631-3053

777 N Broadway
Ste 301
Sleepy Hollow, NY 10591
Phone (914) 693-5025

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

200 White Plains Rd
Ste 201
Tarrytown, NY 10591
Phone (914) 631-3053

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: djourdy67535@northwell.direct-ci.com
  • Direct secure messaging: deya.jourdy@direct.entandallergy.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1255580718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE PLAINS RD STE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915804",
            "telephone_number": "914-631-3053",
            "fax_number": "914-631-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURDY",
        "first_name": "DEYA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "246990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.