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DR. MARK DEDVUKAJ MD
NPI 1427678341
Physical Medicine & Rehabilitation - Pain Medicine in New York, NY

Active since April 21, 2020PECOS Enrolled
435 E 90TH ST, NEW YORK, NY 10128(732) 873-6868 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Apr 21, 2020 (2 updates tracked since 2020).

About Dr. Mark Dedvukaj Md NPPES

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

DR. MARK DEDVUKAJ MD (NPI 1427678341) is an individual pain medicine provider in New York, New York, licensed in New York (337788) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427678341
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. MARK DEDVUKAJCredential: MD
Location Address435 E 90TH STNew York, NY 10128-5103
Mailing Address30 Tyndale PlYonkers, NY 10701-5431
Phone(732) 873-6868
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 21, 2020
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1427678341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 337788
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
435 E 90TH ST, New York, NY 10128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5597243139
PECOS Enrollment IDI20260205002878
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Dedvukaj reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Pain Medicine Associate, PLLC
18 mi
Interventional Pain Medicine
717 FRONT ST
Hempstead, NY 11550
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1124696976 (732) 873-6868
University Pain Medicine Center, LLC
36 mi
Interventional Pain Medicine
59 VERONICA AVE
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1174707954 (732) 873-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dedvukaj's NPI number?

The NPI number for Mark Dedvukaj is 1427678341. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Mark Dedvukaj located?

Mark Dedvukaj practices at 435 E 90th St, New York, NY 10128. The listed phone number is (732) 873-6868.

What is Mark Dedvukaj's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Mark Dedvukaj enrolled in Medicare?

Yes. Mark Dedvukaj is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Dedvukaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dedvukaj reassigns Medicare benefits to 2 organizations: New York Pain Medicine Associate, PLLC (Hempstead, NY) and University Pain Medicine Center, LLC (Somerset, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Dedvukaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Dedvukaj was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.