Dr. John T Dedousis Jr., MD
Internal Medicine in Bayonne, New Jersey
1164515706- Practice location
- 1166 Kennedy Blvd., Bayonne, NJ 07002-3112
- Phone
- 201-339-1133
- Fax
- 201-339-1073
- Last updated
- July 8, 2007
John Thomas Dedousis is an Internal Medicine based in Bayonne, NJ. John Thomas Dedousis practices in Bayonne, NJ and has the professional credentials of MD. The NPI Number for John Thomas Dedousis is 1164515706 and holds a License No. MA51855 (NJ). The current practice location address for John Thomas Dedousis is 1166 Kennedy Blvd., Bayonne, NJ 07002-3112 and can be reached out via phone at 201-339-1133 and via fax at 201-339-1073.
Provider Profile Details
- NPI Number
- 1164515706
- Provider Name
- John Thomas Dedousis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1166 Kennedy Blvd., Bayonne, NJ 07002-3112
- Phone Number
- 201-339-1133
- Fax Number
- 201-339-1073
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1166 Kennedy Blvd.
Bayonne, NJ 07002-3112 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3112
- Phone Number
- 201-339-1133
- Fax Number
- 201-339-1073
Provider Business Mailing Address Details
- Address
- 1166 Kennedy Blvd.
Bayonne, NJ 07002-3112 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3112
- Phone Number
- 201-339-1133
- Fax Number
- 201-339-1073
License Information
- License Number
- MA51855
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John T Dedousis Jr., MD?
The NPI number of Dr. John T Dedousis Jr., MD is 1164515706. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. John T Dedousis Jr., MD?
Dr. John T Dedousis Jr., MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA51855.
Where does Dr. John T Dedousis Jr., MD practice?
The practice location is 1166 Kennedy Blvd., Bayonne, NJ 07002-3112. The office can be reached at 201-339-1133 (phone) or 201-339-1073 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164515706 directly on the NPPES registry website.