Active NPI
Jason Deutsch, MD
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MA07414500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224301 | Other | NY | STATE MEDICAL BOARD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA07414500 | NJ | MD | Emergency Medicine Physician |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Nyc Medical Infusion PC | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Specialty Infusion of NJ PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Specialty Ic Mass LLC | Past | 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
- jason.deutsch.1@25177.direct.athenahealth.com
- 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.
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Emergency Medicine Physician
- New York, NY
- NPI 1346908662
Emergency Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Infusion Therapy Clinic/Center
- New York, NY
- NPI 1932619608
-
- Infusion Therapy Clinic/Center
- Princeton, NJ
- NPI 1013662907
-
- Infusion Therapy Clinic/Center
- Braintree, MA
- NPI 1346713708
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.