Individual provider Active NPI

Jeffrey Deygoo, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1275920720
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA10858500 Issued in NJ
Practice address
290 Madison Ave Ste 203
New York, NY 10017-6308
Phone
(855) 637-1915
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 305111 NY
Interventional Pain Medicine Physician 208VP0014X 25MA10858500 NJ Primary

Addresses

Primary practice location

290 Madison Ave Ste 203
New York, NY 10017-6308

Mailing address

1117 Route 46 Ste 205
Clifton, NJ 07013-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210310000043 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 1254676729 Reassigns benefits to 1 organization
I20210826001790 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 1254676729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Doctors of America PLLCGroup PAC ID 9830431006, 6 clinicians

Practice addresses (Care Compare)

1117 Route 46
Suite 205
Clifton, NJ 07013-2450
Phone (973) 826-2636

290 Madison Ave
New York, NY 10017-6308
Phone (973) 826-2636

Hospital & facility affiliations

  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10858500NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mni Medical Services, PLLC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Pain Doctors of America PLLC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Medical Services of Manhattan, PLLC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Shore Medical Treatment PLLC Multi-Specialty Past Accepting new patients
NJ Vein Medical LLC Multi-Specialty PastSince Feb 3, 2026 Accepting new patients
Vein Treatment NJ LLC Multi-Specialty PastSince Apr 18, 2021 Accepting new patients

Locations

1455 Broad St
Ste 100
Bloomfield, NJ 07003
Phone (201) 402-2050

1117 US Highway 46
Ste 205
Clifton, NJ 07013
Phone (973) 471-0981

968 River Rd
Ste 200
Edgewater, NJ 07020
Phone (201) 224-0757

70 Hudson St
Lowr
Hoboken, NJ 07030

140 N Route 17
Ste 269
Paramus, NJ 07652
Phone (201) 564-7321

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

405 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (201) 325-6120

445 Pleasant Valley Way
West Orange, NJ 07052
Phone (862) 520-4027

1167 McBride Ave
Ste 4
Woodland Park, NJ 07424
Phone (973) 333-4759

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

350 Jericho Tpke
Ste 310
Jericho, NY 11753
Phone (212) 470-6676

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

244 Madison Ave
#1100
New York, NY 10016

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

290 Madison Ave
Ste 203
New York, NY 10017
Phone (212) 577-9247

290 Madison Ave
New York, NY 10017
Phone (973) 826-2636

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

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 1

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1275920720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "fax_number": "620-679-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176308",
            "telephone_number": "855-637-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYGOO",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "305111",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA10858500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.