Healthcare Provider Details

I. General information

NPI: 1336231463
Provider Name (Legal Business Name): JOSEPH SEBASTIAN DEJAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MYRAH KEATING SMITH COMMUNITY HEALTH CENTER 3-B SUSSANABERG
ST.JOHN VI
00831
US

IV. Provider business mailing address

P.O. BOX 1385
ST. JOHN VI
00831
VG

V. Phone/Fax

Practice location:
  • Phone: 340-693-8900
  • Fax: 340-693-9506
Mailing address:
  • Phone: 340-777-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number208265
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number208265
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number1149
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: