Individual provider Active NPI

Cathy Delerme-Pagan, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891733713
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
198983 Issued in NY
Practice address
321 Pennsylvania Ave
Suite 1
Brooklyn, NY 11207-2427
Phone
(718) 484-8985
Fax
(718) 484-8986
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 198983 NY Primary

Addresses

Primary practice location

321 Pennsylvania Ave
Suite 1
Brooklyn, NY 11207-2427

Mailing address

20215 46TH Rd
Suite 1
Bayside, NY 11361-3059
Phone (718) 423-2141

Other identifiers 1

IdentifierTypeStateIssuer
02458597MedicaidNY

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
I20070103000123 NY Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Endocrinology 9638179336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Endocrinology, Internal Medicine
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 Pennsylvania Ave
Brooklyn, NY 11207-4101

409 Rockaway Ave
FL 2
Brooklyn, NY 11212-5635
Phone (718) 484-8985

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baisley Medical Services PC CurrentSince Sep 15, 2008 Accepting new patients

Locations

321 Pennsylvania Ave
Ste 1
Brooklyn, NY 11207
Phone (718) 484-8985

409 Rockaway Ave
Fl 2
Brooklyn, NY 11212
Phone (718) 484-8985

321 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 385-9180

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHFAA/Endpoint/CHHFAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1891733713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20215 46TH RD",
            "address_2": "SUITE 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613059",
            "telephone_number": "718-423-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PENNSYLVANIA AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072427",
            "telephone_number": "718-484-8985",
            "fax_number": "718-484-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELERME-PAGAN",
        "first_name": "CATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "198983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.