Diane Mary Derenches, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

849562 Issued in NY

Practice address

155 3Rd Ave
Bay Shore, NY 11706-6636

Phone

(631) 968-1166

Fax

(631) 968-2581

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1033962154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066636",
            "telephone_number": "631-968-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066636",
            "telephone_number": "631-968-1166",
            "fax_number": "631-968-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERENCHES",
        "first_name": "DIANE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "849562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Deng, M.D.
• Jasmin Dengeles, LMSW
• Jessica Elizabeth Dennehy
• Denise Dent, LPN
• Scott L Derco, O.D.
• Mia R Dericco
• Dermatology Group, PC
• Dana Deruvo Hanner
• Basavaraj Veeranna Desai, MD
• Rita Desimone, OTR/L

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.