Physician Compare National (NPI:1548274111)

HEALTHCARE PROVIDER: STEVEN T. DEAK M.D., PH. D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1548274111
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981631413
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050726000757
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEAK
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	37 CLYDE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	SOMERSET
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088735034
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7328730200
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT PETER'S UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y