Individual provider Active NPI

Maria Dedios, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1629589734
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341557-1 Issued in NY
Practice address
130 East 77TH Street
3 Black Hall
New York, NY 10075
Phone
(212) 434-3900
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341557-1 NY Primary

Addresses

Primary practice location

130 East 77TH Street
3 Black Hall
New York, NY 10075

Mailing address

37 Summit Ave Apt 4D
Port Chester, NY 10573-3858
Phone (347) 804-8927

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315002359 NY Practitioner - Nurse Practitioner 5991067670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F341557-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Apr 25, 2023 Accepting new patients
East Post Road Medical Services PC CurrentSince Apr 25, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 18, 2018 Accepting new patients
Northwell Health Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 18, 2018 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

100 E 77th St
#8
New York, NY 10075
Phone (212) 434-2150

130 E 77th St
#3
New York, NY 10075
Phone (212) 434-2818

130 E 77th St
Fl 5
New York, NY 10075

300 Community Dr
Plandome, NY 11030

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mariadedios@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: mariadedios@northwell.allscriptsdirect.net

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1629589734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SUMMIT AVE APT 4D",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733858",
            "telephone_number": "347-804-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAST 77TH STREET",
            "address_2": "3 BLACK HALL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-434-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDIOS",
        "first_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.