Justin Michael Dexter, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

260483 Issued in NY

Practice address

5100 W Taft Rd
Suite 4M
Liverpool, NY 13088-3807

Phone

(315) 362-3937

Fax

(315) 458-7818

NPI assigned

Jun 10, 2008

Last updated

Dec 23, 2013By 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

Ophthalmology

Education

State University of Ny Upstate Medical University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgeons of Central New York, P.C.Group PAC ID 7416135504, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jdexter15033@direct.upstate.edu
• Direct secure messaging: justindexter@direct-address.net

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.

• Eye Surgeons of Central New York, PC

  dba Eye Physicians of Central New York

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1881725810
  Medicare reassignment Care Compare group NPD
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051
  Medicare reassignment NPD
• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  Medicare reassignment NPD
• Syracuse Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1184886988
  NPD
• David J. Dexter, O.D., P.C.

  • Optometrist
  • Oswego, NY
  • NPI 1205990157
  NPD (past)
• Syracuse ASC, LLC

  dba Specialty Surgery Center of CNY

  • Ambulatory Surgical Clinic/Center
  • Liverpool, NY
  • NPI 1265488563
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1336309723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 4M",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-362-3937",
            "fax_number": "315-458-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 4M",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-362-3937",
            "fax_number": "315-458-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren C Derrick, NP
• Karilyn Despain
• Chelsea Devine, RN
• Regina Marie Devito, O.D.
• Hailey Dewitt
• Wendy Deziley
• Dayanna Eunice Diaz, MS, CF-SLP, TSSLD
• Lindsay Diaz, MS, DDS
• Victoria Angela Didomenico, LPN
• Megan L Dietz, LCSW-R

• Ophthalmology Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.