1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Physician Assistant
  6. NPI Profile

IAN CARLO DEJESUS PA
NPI 1952484719
Physician Assistant in Brooklyn, NY

Active since October 23, 2006
760 BROADWAY, BROOKLYN, NY 11206(171) 896-3837 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian Carlo Dejesus Pa NPPES

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

IAN CARLO DEJESUS PA (NPI 1952484719) is an individual physician assistant in Brooklyn, New York, licensed in New York (P47235) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952484719
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIAN CARLO DEJESUSCredential: PA
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address20936 27th AveBayside, NY 11360-2405 · (718) 428-2420
Phone(171) 896-3837
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952484719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · P47235
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Ian Dejesus's NPI number?

The NPI number for Ian Dejesus is 1952484719. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Ian Dejesus located?

Ian Dejesus practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (171) 896-3837.

What is Ian Dejesus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ian Dejesus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.