Active NPI
Derek James Youssef, DVM
- Veterinarian
- New York, NY
National Provider Identifier
1851057194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 013636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| VM19290 | FL | MD | Veterinarian |
| 013636 | NY | MD | Veterinarian |
| 5392 | CT | MD | Nurse 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.