Active NPI
Neisha Ann Dejesus, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1457596017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013058
- Practice address
- 1275 York Avenue
Box 124
New York, NY 10065 - Phone
- (212) 342-3622
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013058 | NY | Primary |
Addresses
Primary practice location
1275 York Avenue
Box 124
New York, NY 10065
Mailing address
1275 York Avenue, Box 124
Memorial Sloan Kettering Cancer Center
New York, NY 10065
Phone (212) 639-5154
Other names 1
- Neisha Ann Hariprashad
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160627000966 | NY | Practitioner - Physician Assistant | 2961702329 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorial Cardiopulmonary Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 89.1
- Improvement activities
- 40
- Cost
- 63.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ndejesus36027@mskcc.direct-ci.com
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
Hospital
-
- Special Hospital
- New York, NY
- NPI 1770046351
Hospital
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
Hospital
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1457596017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVENUE, BOX 124",
"address_2": "MEMORIAL SLOAN KETTERING CANCER CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-639-5154",
"fax_number": "212-717-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVENUE",
"address_2": "BOX 124",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-342-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "NEISHA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEISHA",
"last_name": "HARIPRASHAD",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 23, 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.
- 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.