Sujatha Der

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

304203-01 Issued in NY

Practice address

22 W 26TH St Apt 12K
New York, NY 10010-2023

Phone

(215) 694-7055

NPI assigned

Jun 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1326200544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 26TH ST APT 12K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102023",
            "telephone_number": "215-694-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 26TH ST APT 12K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102023",
            "telephone_number": "215-694-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DER",
        "first_name": "SUJATHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD435745",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "304203-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Gordon Depuey III, M.D.
• Tava Dequattro
• Marianne Faith Enrile Dequina, FNP-C
• Grace Dequinzio, PA-C
• Elmol P Der
• Anne-Karine Derac, LCSW
• Fatemeh Derakhshan, MD
• Joseph S Derario, DMD
• Ani Catherine Derashotian
• Aimee Michelle Derbes, DACM, L.AC.

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.