William J Derkasch Cyrus G Dehkan PTRS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01560000 Issued in NJ

Legal business name

WILLIAM J DERKASCH CYRUS G DEHKAN PTRS

Doing business as

Derkasch & Dehkan DDS

Practice address

409 Boulevard
Kenilworth, NJ 07033-1538

Phone

(908) 276-2225

Fax

(908) 276-1550

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William James Derkasch, DDSNPI 1801910716

Title

General Partner

Phone

(908) 276-2225

Specialties & licenses 1

Addresses

Other names 1

• Derkasch & Dehkan DDS Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William James Derkasch, DDS

  • General Practice Dentistry
  • Kenilworth, NJ
  • NPI 1801910716
  NPD (past) Authorized official
• Cyrus G Dehkan, DDS

  • General Practice Dentistry
  • Kenilworth, NJ
  • NPI 1518175603
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740403435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331538",
            "telephone_number": "908-276-2225",
            "fax_number": "908-276-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331538",
            "telephone_number": "908-276-2225",
            "fax_number": "908-276-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J DERKASCH CYRUS G DEHKAN PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERKASCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "GENERAL  PARTNER",
        "authorized_official_telephone_number": "908-276-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01560000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derkasch & Dehkan DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eduardo Mauricio Trujillo, DPT
• Gary Udasin, M.D.
• Union County Nephrology Associates
• Laurie Wade, PHARMD
• Hetty Anne Waskin, M.D.
• Lixin Wu
• Xeron Clinical Laboratories Inc.
• Michelle Sherri Zuckerman, PSY.D.

• Dentist in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.