Individual provider Active NPI

Dean Phillip Hamilton

  • Physician Assistant
  • New, NY
National Provider Identifier
1962894097
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018478 Issued in NY
Practice address
535 E. 70TH St
New, NY 10021-0000
Phone
(212) 606-1000
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 018478 NY
Physician Assistant 363A00000X 018478 NY Primary

Addresses

Primary practice location

535 E. 70TH St
New, NY 10021-0000

Mailing address

1430 Newbridge Rd
North Bellmore, NY 11710-1632
Phone (516) 503-7970

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dhamilton54040@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api?FHIR/DSTU2 Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729008477 NY Practitioner - Physician Assistant 2961716352 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

1248 Fulton St
Brooklyn, NY 11216-2003
Phone (646) 604-8130

3733 82ND St
Jackson Heights, NY 11372-7031
Phone (646) 604-8190

436 Utica Ave
Brooklyn, NY 11213-5903
Phone (646) 604-8150

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

916 Flatbush Ave
Brooklyn, NY 11226-4018
Phone (646) 604-8140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018478NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Physician Services PC CurrentSince Jan 28, 2026 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Locations

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

Interoperability endpoints

  • Direct secure messaging: dhamilton54040@direct.hss.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 9

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1962894097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101632",
            "telephone_number": "516-503-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E. 70TH ST",
            "city": "NEW",
            "state": "NY",
            "postal_code": "100210000",
            "telephone_number": "212-606-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DEAN",
        "middle_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "018478",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhamilton54040@direct.HSS.edu",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E. 70TH ST",
            "city": "NEW",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100210000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api?FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "legacy FHIR URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E. 70TH ST",
            "city": "NEW",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100210000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "legacy FHIR URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E. 70TH ST",
            "city": "NEW",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100210000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New, NY

Sources for this page

Verify at the official NPI Registry.