DR. DEENA JACOBETH NELSON M.D.
NPI 1992701551
Internal Medicine in New York, NY
About Dr. Deena Jacobeth Nelson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEENA JACOBETH NELSON M.D. (NPI 1992701551) is an individual internal medicine provider in New York, New York, licensed in New York (135173) and active in the NPI registry since June 2005. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Deena Jacobeth Nelson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10022
NEW YORK, NY 10022
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 Deena Nelson's NPI number?
The NPI number for Deena Nelson is 1992701551. It was assigned to this individual provider in the NPPES registry on June 28, 2005.
Where is Deena Nelson located?
Deena Nelson practices at 635 Madison Ave Fl 8, New York, NY 10022. The listed phone number is (212) 857-4670.
What is Deena Nelson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Deena Nelson enrolled in Medicare?
No. Deena Nelson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Deena Nelson 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.
# Dr. Deena Jacobeth Nelson, M.D. · NPI 1992701551
Internal Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 28, 2005.
## Identity
- **NPI:** 1992701551 (Entity type: Individual)
- **Enumerated:** June 28, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 135173 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 635 MADISON AVE, FL 8, New York, NY 10022-1009
- **Phone:** (212) 857-4670 · **Fax:** (212) 752-3390
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified DN034A6810 (NY); Medicare UPIN C08769 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1992701551) · Data from the CMS NPPES public registry.