Alan Michael De Klerk, MBCHB, FAAP

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

212205 Issued in NY

Practice address

7 Cornelia St Apt 3D
New York, NY 10014-4165

Phone

(321) 609-1723

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1295735645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORNELIA ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144165",
            "telephone_number": "321-609-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORNELIA ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144165",
            "telephone_number": "321-609-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE KLERK",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MBCHB, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "212205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019304000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01892800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Anibal De Jesus, MSW
• Mark Vincent De Jesus, PA-C
• Sacary De Jesus
• Ype P De Jong, MD PHD
• Martha I De Jorge, MS, CCC-SLP
• Kristina Anjali De la Bastide, MS OTR/L
• Flor S De la Cadena, M.D.
• Franzenith De la Calle, RDN
• Alain De la Chapelle
• Nurys Y De la Cruz Bisono, MHC-LP

• Neonatal-Perinatal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Neonatal-Perinatal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.