Individual provider Active NPI

Jeffrey W Degen, M.D.

  • Neurological Surgery Physician
  • West Nyack, NY
National Provider Identifier
1982611232
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
235754 Issued in NY
Practice address
2 Crosfield Ave Ste 102
West Nyack, NY 10994-2233
Phone
(845) 368-0286
Fax
(845) 368-1653
NPI assigned
Aug 1, 2006
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 235754 NY Primary

Addresses

Primary practice location

2 Crosfield Ave Ste 102
West Nyack, NY 10994-2233

Mailing address

2 Crosfield Ave Ste 102
West Nyack, NY 10994-2233
Phone (845) 368-0286

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
I20050629001162 NY Practitioner - Neurosurgery 8729024724

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
JS Weill Medical College, Cornell University, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Crosfield Ave
Suite 102
West Nyack, NY 10994-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235754NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care of Rockland, P.C. Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: jdegen189577@ahs.direct-ci.com

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1982611232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE STE 102",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942233",
            "telephone_number": "845-368-0286",
            "fax_number": "845-368-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE STE 102",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942233",
            "telephone_number": "845-368-0286",
            "fax_number": "845-368-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEN",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "235754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.