Daniel Despen, PHYSICIAN ASST

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001042 Issued in NY

Practice address

888 Fountain Ave
Brooklyn, NY 11208-5997

Phone

(718) 642-6352

Fax

(718) 642-7890

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1548488364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GERARD AVE EAST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "11565",
            "telephone_number": "516-599-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 FOUNTAIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085997",
            "telephone_number": "718-642-6352",
            "fax_number": "718-642-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPEN",
        "first_name": "DANIEL",
        "credential": "PHYSICIAN ASST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "001042",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "001042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Desouza, MD
• Jessica Tailing Desouza, DDS
• Marilyn Desouza
• Neekel Desouza, RN
• Penelope Desouza
• Danielle S Desperak-Schisler, LCSW
• Guerlie Camille Desphy X
• Stephanie Jane Despins-Daly, LCSW
• Jonathan Desplantes, LPN
• Ricardo Ygnacio Despradel

• Surgical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.