Active NPI
Javier Depaz, MD
- Neonatal-Perinatal Medicine Physician
- Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 250320
- Practice address
- 8900 Van Wyck Expy
Richmond Hill, NY 11418-2832 - Phone
- (718) 206-6175
- Fax
- (718) 206-6915
- NPI assigned
- Apr 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 000974 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 000974 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 250320 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
116 N 7TH St
New Hyde Park, NY 11040-3027
Phone (718) 206-6175
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000974 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Pediatrics | Current | Accepting new patients |
| Jamaica Hospital | Past | Accepting new patients | |
| JHMC Diagnostic and Treatment Center | Pediatrics | Past | Accepting new patients |
Locations
3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jdepaz6742@direct.medisys.org
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1821045485
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1396707956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N 7TH ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403027",
"telephone_number": "718-206-6175",
"fax_number": "718-206-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-6175",
"fax_number": "718-206-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAZ",
"first_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "000974",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "000974",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "250320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.