Individual provider Active NPI

Derek James Youssef, DVM

  • Veterinarian
  • New York, NY
National Provider Identifier
1851057194
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
013636 Issued in NY
Practice address
2143 Adam Clayton Powell Jr Blvd
New York, NY 10027-3008
Phone
(212) 280-3700
NPI assigned
Nov 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 5392 CT
Veterinarian 174M00000X VM19290 FL
Veterinarian 174M00000X 013636 NY Primary

Addresses

Primary practice location

2143 Adam Clayton Powell Jr Blvd
New York, NY 10027-3008

Mailing address

405 Lexington Ave FL 9
New York, NY 10174-1000
Phone (212) 810-0193

Other practice location 1

2135 Jericho Tpke
New Hyde Park, NY 11040-4727
Phone (516) 746-1566

Other practice location 2

10 Cross St
Norwalk, CT 06851-4613
Phone (203) 363-4441

Other practice location 3

6863 W Commercial Blvd
Lauderhill, FL 33319-2116
Phone (728) 227-7754

Other practice location 4

830 Pelham Pkwy
Pelham, NY 10803-2710
Phone (914) 636-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VM19290FLMDVeterinarian
013636NYMDVeterinarian
5392CTMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1851057194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LEXINGTON AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101741000",
            "telephone_number": "212-810-0193",
            "fax_number": "212-810-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273008",
            "telephone_number": "212-280-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110404727",
            "country_code": "US",
            "telephone_number": "516-746-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Cross St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068514613",
            "country_code": "US",
            "telephone_number": "203-363-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6863 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333192116",
            "country_code": "US",
            "telephone_number": "728-227-7754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Pelham Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "NY",
            "postal_code": "108032710",
            "country_code": "US",
            "telephone_number": "914-636-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "DEREK JAMES",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CT",
            "license": "5392",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "FL",
            "license": "VM19290",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NY",
            "license": "013636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.