John T. Dedousis, Md, P. C.

LBN: John T. Dedousis, Md, P. C.
John T. Dedousis, Md, P. C. is an health care organization with primary practice located at 1166 Kennedy Blvd , Bayonne NJ 07002-3112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. John T. Dedousis, Md, P. C. can be contacted via phone (201) 339-1133, or through Dedousis, John Thomas via phone (201) 339-1133.

Contact Information

Primary practice address
1166 Kennedy Blvd Bayonne NJ 07002-3112
Phone: (201) 339-1133
Fax: (201) 339-1073
Website:
Map and Directions
Authorized official contact:
Name: Dedousis, John Thomas Doctor of Medicine (MD)
Phone: (201) 339-1133

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1922151315
LBN Legal business name John T. Dedousis, Md, P. C.
DBA Doing business as
Authorized official Dedousis, John Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922151315 NPPES
New Jersey MEDICAID 1838903

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