Alfred Martin Derrow, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

091043 Issued in NY

Practice address

16 Crawford Dr
Dix Hills, NY 11746-7914

Phone

(631) 499-8892

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1134457765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CRAWFORD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467914",
            "telephone_number": "631-499-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CRAWFORD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467914",
            "telephone_number": "631-499-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERROW",
        "first_name": "ALFRED",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "091043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen A Delaney
• Kim C Demonte, LPN
• Rose Denis-Riche
• Christine Dennis
• Dental Anesthesiology Services PLLC
• Susan Devlin, LPN
• Diana Di Gangi, LMSW
• Dolfina Angela Dimaria-Arloro, R.PH.
• Kathryn Dinapoli, RN
• Dix Hills Fire District

• Internal Medicine Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.