Stephen William Dejter Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD17767 Issued in DC

Practice address

3301 New Mexico Ave NW Ste 311
Washington, DC 20016-3624

Phone

(202) 364-3434

Fax

(202) 686-6382

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 16, 2018 through Jul 16, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1750311916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163624",
            "telephone_number": "202-364-8918",
            "fax_number": "202-686-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163624",
            "telephone_number": "202-364-3434",
            "fax_number": "202-686-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJTER",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DC",
            "license": "MD17767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biruktawit Dejene
• Meklit Dejene, PCA
• Tsige Dejenie
• Anita Alexis Dejesus
• Miriam Carmen Dejesus
• Jessica Doreen Dekker, MA
• Judith Ward Dekle, LCSW
• Cynthia Marie Carver Deklotz
• Timothy Richard Deklotz, MD
• John Andrew Del Castillo, MD

• Urology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Urology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.