Mark Dedvukaj, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

337788 Issued in NY

Practice address

435 E 90TH St
New York, NY 10128-5103

Phone

(732) 873-6868

NPI assigned

Apr 21, 2020

Sex

Male

Sole proprietor

Yes

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, NJ2 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

Specialty

Nurse PractitionerAlso: Pain Management

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• New York Pain Medicine Associate, PLLC

  • Interventional Pain Medicine Physician
  • Hempstead, NY
  • NPI 1124696976
  Medicare reassignment NPD
• University Pain Medicine Center, LLC

  • Interventional Pain Medicine Physician
  • Somerset, NJ
  • NPI 1174707954
  Medicare reassignment NPD
• Guardian Anesthesia

  • Anesthesiology Physician
  • Livingston, NJ
  • NPI 1053947853
  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1427678341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TYNDALE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E 90TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285103",
            "telephone_number": "732-873-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDVUKAJ",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "337788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaidehi Shradha Dedania, M.D.
• Elizabeth Abelow Dederick
• Maria Dedios, FNP
• Anthony Michael Dedonatis, PMHNP-BC, RN-BC
• Drita Dedvukaj, M.S.
• Anna Dee
• Edward Christopher Dee
• Kurt Timothy Dee, PA-C
• Maya Deeb, M.D.
• Miranda Deebrah, LMSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.