Individual provider Active NPI

Jeffrey Delson, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1659449353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
158012 Issued in NY
Practice address
7 Gay St
New York, NY 10014-3536
Phone
(212) 206-0629
Fax
(212) 242-2602
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

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
Sports Medicine (Internal Medicine) Physician 207RS0010X 158012 NY Primary

Addresses

Primary practice location

7 Gay St
New York, NY 10014-3536

Mailing address

7 Gay St
New York, NY 10014-3536
Phone (212) 206-0629

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000321 NY Practitioner - Internal MedicinePractitioner - Sports Medicine 7214197060 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Gay St
New York, NY 10014-3536
Phone (212) 206-0629

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158012NYMDSports Medicine (Internal Medicine) Physician

Hospital & facility affiliations 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659449353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GAY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143536",
            "telephone_number": "212-206-0629",
            "fax_number": "212-242-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GAY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143536",
            "telephone_number": "212-206-0629",
            "fax_number": "212-242-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "158012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.