Deborah Ann Derose, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000304 Issued in CT

Practice address

880 Old Post Rd
Fairfield, CT 06824-8403

Phone

(203) 259-4229

Fax

(203) 255-4743

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1902827496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068248403",
            "telephone_number": "203-259-4229",
            "fax_number": "203-255-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068248403",
            "telephone_number": "203-259-4229",
            "fax_number": "203-255-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CT",
            "license": "000304",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "000304",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Dean Demartini, M.D.
• Deirdre Dempsey
• Jason Deng
• Paul Dengelegi, DMD
• Dental Sedation Center of Connecticut, LLC
• Rose Derosier, LPN
• Dipti Mahendra Desai, PHARMD
• Shyam Ambrish Desai, MD
• Vanna M Dest, APRN
• Sara Ines Dever, MD

• Podiatrist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.