Lady Paula Jose Dejesus, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006439 Issued in NY

Practice address

7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2342

Phone

(718) 745-7266

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ladydejesus@whmc.allscriptsdirect.net
• Direct secure messaging: ldejesus546693@direct.ynhh.org
• Direct secure messaging: lady.dejesus.p1@direct.ucpnyc.nextgenshare.com

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  Medicare reassignment NPD
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• Foot Clinics of New York

  • Podiatrist
  • New York, NY
  • NPI 1780616763
  Medicare reassignment NPD
• United Cerebral Palsy of New York City Inc

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1730302019
  Medicare reassignment NPD
• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796
  Medicare reassignment NPD
• Northeast Medical Group, PLLC

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1942526207

  NY

  Medicare reassignment NPD
• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  Medicare reassignment
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)
• Clay County Podiatry Associates PA

  • Podiatrist
  • Middleburg, FL
  • NPI 1033559257
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1558643221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 34TH ST",
            "address_2": "#4C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111035253",
            "telephone_number": "305-498-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282342",
            "telephone_number": "718-745-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "LADY PAULA",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006439",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dejean, COUNSELOR
• Latesha Dejean
• Dejen Associates, Inc.
• Nathanael Alemneh Dejene
• Ian Carlo Dejesus, PA
• Xarializ Autumn Dejesus
• Dejon Corp
• David M Dejong
• Dekalb Drugs Inc
• Dekalb Medical Group PC

• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.