Active NPI
Noci Deda, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Lake Placid, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 232650
- Practice address
- 185 Old Military Rd
Lake Placid, NY 12946-1939 - Phone
- (518) 523-2464
- Fax
- (518) 523-1401
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 232650 | NY | Primary |
Addresses
Primary practice location
185 Old Military Rd
Lake Placid, NY 12946-1939
Mailing address
122 Bloomingdale Ave Apt 1
Saranac Lake, NY 12983-1223
Phone (518) 523-3496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06000232650 | Medicaid | NY | |
| 232650 | Other | NY | STATE LICENSE |
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
- Hospitalist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560
350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Frederick Ferris Thompson Hospital | Current | Accepting new patients | |
| Health Quest Medical Practice, PC | Current | Accepting new patients | |
| Southwest Suffolk Medical, P.C. | Current | Accepting new patients | |
| Newburgh Physician Services PC | Current | Accepting new patients | |
| The Frederick Ferris Thompson Hospital | Current | Accepting new patients | |
| Southwest Suffolk Medical PC | Current | Accepting new patients | |
| St. Joseph'S Hospital, Yonkers | Past | Accepting new patients |
Locations
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
73 Buffalo St
Ste 100
Canandaigua, NY 14424
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ndeda581171@direct.urmc.rochester.edu
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
- Surgical Oncology Physician
- Smithtown, NY
- NPI 1104096049
-
- Physical Medicine & Rehabilitation Physician
- Tinton Falls, NJ
- NPI 1205268364
NY
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
-
- Family Medicine Physician
- Lindenhurst, NY
- NPI 1770919763
-
- Community/Retail Pharmacy
- Victor, NY
- NPI 1831914274
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1477640258
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922018282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BLOOMINGDALE AVE APT 1",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831223",
"telephone_number": "518-523-3496",
"fax_number": "518-523-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 OLD MILITARY RD",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129461939",
"telephone_number": "518-523-2464",
"fax_number": "518-523-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDA",
"first_name": "NOCI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "232650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06000232650",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "232650",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.