Jefferey V Dermksian (NPI# 1366544306, PAC ID# 9032198866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1366544306 |
| PAC ID by PECOS | 9032198866 |
| Professional Enrollment ID | I20040715001022 |
| Full Name | Jefferey V Dermksian |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
1790 Broadway Fl 10 New York NY 10019-1412 |
| Phone Number | 2124346880 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330270 | HOSPITAL FOR SPECIAL SURGERY |
| Address | Phone | Organization |
|---|---|---|
| 100 E 77th St, New York, NY 10075-1850 | 2124342140 | NORTH SHORE-LIJ MEDICAL PC |
| 1790 Broadway, Fl 10, New York, NY 10019-1412 | 2124346880 | NORTH SHORE-LIJ MEDICAL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
1790 BROADWAY FL 10 |
| City | NEW YORK |
| State | NY |
| Zip | 10019-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandera K Clarke | Physician Assistant | Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, Md, PC | 1790 Broadway, Fl 8, New York, NY 10019-1412 |
| Paul F Pascual | Family Medicine | Mount Sinai School of Medicine | 1790 Broadway, Suite 1802, New York, NY 10019-1471 |
| Elias Kassapidis | Orthopedic Surgery | North Shore-lij Medical PC | 1790 Broadway, Fl 10, New York, NY 10019-1412 |
| Krystin A Brinker | Physician Assistant | Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, Md, PC | 1790 Broadway, Fl 8, New York, NY 10019-1412 |
| William D Schell | Sports Medicine | North Shore-lij Medical PC | 1790 Broadway, Fl 10, New York, NY 10019-1412 |
| Paul I Tartter | General Surgery | Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, Md, PC | 1790 Broadway, Fl 8, New York, NY 10019-1412 |
| Sharon M/ Rosenbaum-smith | General Surgery | Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, Md, PC | 1790 Broadway, Fl 8, New York, NY 10019-1412 |
| Elizabeth Canas | Internal Medicine | Mount Sinai School of Medicine | 1790 Broadway, Suite 1802, New York, NY 10019-1471 |
| Carly Jill Rome | Physician Assistant | Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, Md, PC | 1790 Broadway, Fl 8, New York, NY 10019-1412 |
| Joe Vongvorachoti | Pain Management | North Shore-lij Medical PC | 1790 Broadway, Fl 10, New York, NY 10019-1412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Mc Cormick | Psychologist, Clinical | 162 West 56 St, Suite 502, New York, NY 10019 | |
| Boyan Hadjiev | Allergy/immunology | Head and Neck Surgical Group, LLC | 425 W 59th St, New York, NY 10019-1104 |
| Michael Rosen | Internal Medicine | Michael Eric Rosen, Md, PC | 425 W 59th St, New York, NY 10019-1104 |
| Narcis B Aron | Nephrology | 426 W 58th St, New York, NY 10019-1120 | |
| Pauline E Weiss | Psychiatry | 345 W 58th St, New York, NY 10019-1135 | |
| David A Kamlet | Internal Medicine | 345 W 58th St, New York, NY 10019-1145 | |
| Barry M Pomerantz | Dermatology | 345 W 58th St, Suite Basement, New York, NY 10019-1145 | |
| Mary Fowkes | Pathology | Fpa Hospital Based | 1000 10th Ave, New York, NY 10019-1147 |
| Joseph A Demattia | Neurosurgery | 1000 10th, Suite 50, New York, NY 10019-1147 | |
| Lindsey Bornstein Gottlieb | Infectious Disease | Icahn School of Medicine At Mount Sinai | 1000 10th Ave, New York, NY 10019-1147 |
| Find all physicians in zip 10019 | |||
| City | NEW YORK |
| Zip Code | 10019 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | NEW YORK + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jefferey V Dermksian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.