Marcel J Deray, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME0042407 Issued in FL

Practice address

3200 SW 60 CT
Ste #302
Miami, FL 33153

Phone

(305) 662-8330

Fax

(305) 663-2813

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Miami

  dba UMiami Medicine - Neurology

  • Neurology Physician
  • Miami, FL
  • NPI 1588613939
  NPD (past)
• University of Miami

  dba UMiami Medicine - Neurocritical Care

  • Neurocritical Care Physician
  • Miami, FL
  • NPI 1669888509
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1932287323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554071",
            "telephone_number": "305-662-8330",
            "fax_number": "305-663-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60 CT",
            "address_2": "STE #302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33153",
            "telephone_number": "305-662-8330",
            "fax_number": "305-663-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAY",
        "first_name": "MARCEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME0042407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041979600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcel.deray@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3200 SW 60 Ct",
            "address_2": "Ste #302",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Eileen Dequesada, M.S. CCC-SLP
• Gema Yudit Der Rohe-Borghese, LICENSED CLINICAL SO
• Natasha Victoria Deras
• Aditya Manjul Derasari, M.D.
• Talar Derashodian, M.D.
• Laura Derderian, CCC-SLP
• Derek Bazemore MD Inc
• Joseph Dergan, MD
• Audrey Elaine Dericho
• Florence Derilus

• Neurology with Special Qualifications in Child Neurology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.