Active NPI
Jeffrey Deygoo, M.D.
- Interventional Pain Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MA10858500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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, 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
- Pain Management
- Education
- New York Medical College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 87 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10858500 | NJ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mni Medical Services, PLLC | Multi-Specialty | Current | Accepting new patients |
| Pain Doctors of America PLLC | Multi-Specialty | Current | Accepting new patients |
| Medical Services of Manhattan, PLLC | Multi-Specialty | Current | Accepting new patients |
| Shore Medical Treatment PLLC | Multi-Specialty | Past | Accepting new patients |
| NJ Vein Medical LLC | Multi-Specialty | Past | Accepting new patients |
| Vein Treatment NJ LLC | Multi-Specialty | Past | 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.
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1992264469
Multi-Specialty, NJ
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.