Individual provider Active NPI

Elmo Ferreira Deslandes, PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1497879241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006720-1 Issued in NY
Practice address
3965 Sedgwick Ave Apt 7C
Bronx, NY 10463-3139
Phone
(718) 548-0219
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006720-1 NY Primary

Addresses

Primary practice location

3965 Sedgwick Ave Apt 7C
Bronx, NY 10463-3139

Mailing address

3965 Sedgwick Ave Apt 7C
Bronx, NY 10463-3139
Phone (718) 548-0219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006720NYMDCommunity Health Worker
006720-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497879241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 SEDGWICK AVE APT 7C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633139",
            "telephone_number": "718-548-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 SEDGWICK AVE APT 7C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633139",
            "telephone_number": "718-548-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLANDES",
        "first_name": "ELMO",
        "middle_name": "FERREIRA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.