David A. Derdzinski, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

P55282 Issued in NY

Practice address

585 Schenectady Ave
Brooklyn, NY 11203-1822

Phone

(718) 604-5456

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Anesthesiology

Education

University of Wisconsin School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BK Community Care LLCGroup PAC ID 6002299492, 3 clinicians

United Nyc Medical Associates LLCGroup PAC ID 4385894237, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BK Community Care LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1407501844
  Medicare reassignment Care Compare group NPD
• United Nyc Medical Associates LLC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1871844142
  Medicare reassignment Care Compare group NPD
• Xie Jianlin Gastroenterology & Hepatology PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1467759845

  Anesthesiology

  Medicare reassignment NPD
• Anestat Services LLC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1912313362
  Authorized official Same address or phone
• Interventional Pain Medicine PC

  • Pain Medicine (Anesthesiology) Physician
  • Hollis, NY
  • NPI 1669560504
  NPD (past)
• Leslie a. Honikman, M.D., P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1346609062
  NPD (past)

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

• New York Community Hospital of Brooklyn Inc

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1215030697
  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306054242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031822",
            "telephone_number": "718-604-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERDZINSKI",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "P55282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept of Education
• Dept of Education
• Kelsey Morgan Depue, LMHC
• Joseph Der
• Rickie E Derdik
• Melissa Ellen Dere, MD
• Erimas Nimane Dereje
• Gabriella Jennifer Deren
• Rachel Michelle Deren
• Giorgi Derevenskikh, MD

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.