Individual provider Active NPI

Deana E Paley, DO

  • Plastic Surgery Physician
  • Watertown, NY
National Provider Identifier
1942416771
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
249051 Issued in NY
Practice address
629 Washington St Ste 1
Watertown, NY 13601-4083
Phone
(315) 755-3650
Fax
(315) 755-3669
NPI assigned
May 16, 2007
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 249051 NY Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 249051 NY
Surgery Physician 208600000X 249051 NY

Addresses

Primary practice location

629 Washington St Ste 1
Watertown, NY 13601-4083

Mailing address

629 Washington St Ste 1
Watertown, NY 13601-4083
Phone (315) 755-3650

Other practice location 1

955 Yonkers Ave
Ste 17
Yonkers, NY 10704-3060
Phone (917) 530-9900

Other identifiers 1

IdentifierTypeStateIssuer
03488153MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://samaritanhealth.com/location/samaritan-medical-center/ Direct Samaritan hospital

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
I20120807000392 NY Practitioner - Family PracticePractitioner - Plastic and Reconstructive SurgeryPractitioner - Peripheral Vascular Disease 1153577135 Reassigns benefits to 4 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease, Plastic and Reconstructive Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical Practice PCGroup PAC ID 5698853133, 29 clinicians

Practice addresses (Care Compare)

629 Washington St
Watertown, NY 13601-4836
Phone (315) 755-3650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249051NYMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Practice, PC Surgery CurrentSince Aug 31, 2018 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Nov 1, 2013 Accepting new patients
Flushing Hospital Medical Center CurrentSince Nov 1, 2013 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Oct 1, 2014 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

165 Coleman Ave
Watertown, NY 13601
Phone (315) 755-2024

629 Washington St
Watertown, NY 13601
Phone (315) 755-3650

629 Washington St
Ste 1
Watertown, NY 13601
Phone (315) 755-3650

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Interoperability endpoints

  • Direct secure messaging: dpaley@samaritanmedicalpractice.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1942416771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 WASHINGTON ST STE 1",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014083",
            "telephone_number": "315-755-3650",
            "fax_number": "315-755-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 WASHINGTON ST STE 1",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014083",
            "telephone_number": "315-755-3650",
            "fax_number": "315-755-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Yonkers Ave",
            "address_2": "Ste 17",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107043060",
            "country_code": "US",
            "telephone_number": "917-530-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALEY",
        "first_name": "DEANA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "249051",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "249051",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "249051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03488153",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://samaritanhealth.com/location/samaritan-medical-center/",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Samaritan hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "629 Washington St Ste 1",
            "city": "Watertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136014083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.