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DR. GEORGE DEITRICK MD
NPI 1265534143
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Bronx, NY

Active since September 02, 2006PECOS Enrolled
130 W KINGSBRIDGE RD, JAMES J . PETERS VA MEDICAL CENTER, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. George Deitrick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE DEITRICK MD (NPI 1265534143) is an individual spinal cord injury medicine provider in Bronx, New York, licensed in New York (188018-1) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265534143
Entity TypeIndividualMale
Primary Taxonomy2081P0004X
Provider Legal NameDR. GEORGE DEITRICKCredential: MD
Location Address130 W KINGSBRIDGE RD, JAMES J . PETERS VA MEDICAL CENTERBronx, NY 10468-3904
Mailing Address17 Kenwood RdGarden City, NY 11530-3034 · (516) 248-1420
Phone(718) 584-9000
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1265534143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
License✔ Licensed in NY · 188018-1
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
Also ListedSurgeryTaxonomy 208600000X · License 188018-1 (NY)
130 W KINGSBRIDGE RD, Bronx, NY 10468
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George Deitrick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY RAE CLARK PHARM.D.
Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
CHARISSE JAMES
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. JEREMY SILVERMAN PHD
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
GUANQING SUN MD
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. MONICA ANN SORIO
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
MRS. BLANCA VICTORIA FABER MSW, ACSW, LCSW
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Bronx County (718) 584-9000
DR. HELENE EVE PRICE M.D.
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Bronx County (718) 584-9000
MS. ALBA L HERNANDEZ MS, RD
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Deitrick's NPI number?

The NPI number for George Deitrick is 1265534143. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is George Deitrick located?

George Deitrick practices at 130 W Kingsbridge Rd James J . Peters VA Medical Center, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is George Deitrick's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Is George Deitrick enrolled in Medicare?

Yes. George Deitrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for George Deitrick was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.