Deborah Donnamae Derival

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333705-1 Issued in NY

Practice address

11606 Myrtle Ave
Richmond Hill, NY 11418-1748

Phone

(718) 850-7099

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1063061075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344931",
            "telephone_number": "631-339-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181748",
            "telephone_number": "718-850-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIVAL",
        "first_name": "DEBORAH",
        "middle_name": "DONNAMAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Defoe, DO
• Rhonda Degannes, CNM
• Dave Clark Cesa Dela Cruz, PT, DPT
• Nader Delavari, MD
• Javier Depaz, MD
• Mansi Desai
• Paul Desir, MS.
• Abelard Carlo Desrosiers
• Krushika Devanaboyina
• Shatarupa Dey, MD

• Licensed Practical Nurse in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.