Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Neisha Ann Dejesus, PA-C

Individual provider Physician Assistant · NPI 1457596017

Neisha Ann Dejesus, PA-C is a Physician Assistant in New York, New York. Qualified in 2008, 18 years ago. Practices with Memorial Cardiopulmonary Group, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1275 York Avenue Box 124
New York, NY 10065
Phone: (212) 342-3622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013058 (NY)

Record details

NPI number1457596017
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2008
Last updated in NPPESOctober 23, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Memorial Cardiopulmonary Group — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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