MARK VINCENT DE JESUS PA-C
NPI 1326553041
Physician Assistant - Surgical in New York, NY

Active since December 04, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Vincent De Jesus Pa-c NPPES

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

MARK VINCENT DE JESUS PA-C (NPI 1326553041) is an individual surgical provider in New York, New York and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326553041
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK VINCENT DE JESUSCredential: PA-C
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address2543 Hering AveBronx, NY 10469-5301 · (718) 798-6592
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 4, 2017
NPI 1326553041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Vincent De Jesus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204264187
PECOS Enrollment IDI20200309001499
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Mark De Jesus's NPI number?

The NPI number for Mark De Jesus is 1326553041. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Mark De Jesus located?

Mark De Jesus practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Mark De Jesus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark De Jesus enrolled in Medicare?

Yes. Mark De Jesus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark De Jesus affiliated with any hospitals?

According to CMS data, Mark De Jesus is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Mark De Jesus was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.