Individual provider Active NPI

Jason Deutsch, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1285665141
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA07414500 Issued in NJ
Practice address
90 Broad St
Etd
New York, NY 10004-2205
Phone
(212) 832-2756
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA07414500 NJ Primary

Addresses

Primary practice location

90 Broad St
Etd
New York, NY 10004-2205

Mailing address

285 Lafayette St
8B
New York, NY 10012-3367
Phone (917) 687-4545

Other identifiers 1

IdentifierTypeStateIssuer
224301OtherNYSTATE MEDICAL BOARD

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
I20101116000816 NJ Practitioner - Emergency Medicine 0840485819 Reassigns benefits to 1 organization
I20140416001070 NY Practitioner - Emergency Medicine 0840485819 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07414500NJMDEmergency Medicine Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Nyc Medical Infusion PC CurrentSince Jan 5, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Oct 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Specialty Infusion of NJ PC CurrentSince Jan 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 Accepting new patients
Infusion Care Providers of America Past Accepting new patients

Locations

116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202

120 N Route 17
Ste 200
Paramus, NJ 07652

1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220

1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202

1047 Surf Ave
Ste 2
Brooklyn, NY 11224

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

5663 E Circle Dr
Cicero, NY 13039
Phone (315) 214-0004

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

175 E 96th St
New York, NY 10128
Phone (212) 426-1970

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

2689 Broadway
New York, NY 10025
Phone (212) 832-2756

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870

999 E Ridge Rd
Ste 13
Rochester, NY 14621

1865 S Clinton Ave
Ste 160
Rochester, NY 14618

78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505

175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873

2 Westchester Park Dr
Ste 101A
White Plains, NY 10604

Networks

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

Interoperability endpoints

  • Direct secure messaging: jason.deutsch.1@25177.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1285665141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LAFAYETTE ST",
            "address_2": "8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123367",
            "telephone_number": "917-687-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST",
            "address_2": "ETD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042205",
            "telephone_number": "212-832-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA07414500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "224301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.