Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deba Banerji, MD

Individual provider Internal Medicine Physician · NPI 1073574240

Deba Banerji, MD is an Internal Medicine in Staten Island, New York. Qualified in 1980, 46 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone: (718) 948-8200
Fax: (718) 948-8433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 192748 (NY)

Record details

NPI number1073574240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESNovember 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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