Individual provider Active NPI

Deena Eliana Merzel, M.D.

  • Pediatric Gastroenterology Physician
  • Syosset, NY
National Provider Identifier
1881191690
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
308687 Issued in NY
Practice address
575 Underhill Blvd Ste 200
Syosset, NY 11791-3416
Phone
(516) 822-4404
NPI assigned
Apr 9, 2018
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 308687 NY Primary

Addresses

Primary practice location

575 Underhill Blvd Ste 200
Syosset, NY 11791-3416

Mailing address

575 Underhill Blvd Ste 200
Syosset, NY 11791-3416

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 741-2332

Other practice location 2

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other names 1

  • Dr. Deena Eliana Miller Former name

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
I20250814001910 NY Practitioner - Pediatric Medicine 4385143742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York Medical College, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

933 S Michigan Ave
Addison, IL 60101-4832

PO Box
Suite 95000
Philadelphia, PA 19195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

575 Underhill Blvd
Ste 200
Syosset, NY 11791
Phone (516) 622-6105

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: dmerzel191953@direct.optum.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1881191690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD STE 200",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD STE 200",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913416",
            "telephone_number": "516-822-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-741-2332",
            "fax_number": "718-515-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERZEL",
        "first_name": "DEENA",
        "middle_name": "ELIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "308687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEENA",
            "last_name": "MILLER",
            "middle_name": "ELIANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.