Active NPI
John C Deysine, M.D.
- Surgical Oncology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 181541
- Practice address
- 2219 Ocean Ave
Brooklyn, NY 11229 - Phone
- (516) 569-0696
- Fax
- (516) 569-3677
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 181541 | NY | |
| Surgical Oncology Physician | 2086X0206X | 181541 | NY | Primary |
Addresses
Primary practice location
2219 Ocean Ave
Brooklyn, NY 11229
Mailing address
2219 Ocean Ave
Brooklyn, NY 11229-2303
Phone (516) 569-0696
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | CWID@direct.nyp.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2101 Ave X
Brooklyn, NY 11235-2910
Phone (718) 517-2900
Hospital & facility affiliations
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Quality
- 84.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181541 | NY | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Vantage Medical Associates PC | Current | Accepting new patients | |
| Brooklyn Radiation Oncology PC | Surgery | Current | Accepting new patients |
| VR Leddy, M.D., P.C. | Past | Accepting new patients | |
| Surgical Oncology Associates | Surgery | Past | Accepting new patients |
Locations
160 4th St
Ste 1
Brentwood, NY 11717
Phone (631) 273-7105
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200
1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600
380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jod9124@direct.nyp.org
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Multi-Specialty Clinic/Center
- Far Rockaway, NY
- NPI 1538642996
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Internal Medicine Physician
- Brentwood, NY
- NPI 1275768327
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1881607216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292303",
"telephone_number": "516-569-0696",
"fax_number": "516-569-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "516-569-0696",
"fax_number": "516-569-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYSINE",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "181541",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "181541",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "2219 Ocean Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11229",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "2219 Ocean Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11229",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CWID@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "2219 Ocean Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.