Joseph S Derario, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

040609-1 Issued in NY

Practice address

245 Park Ave
41St Floor
New York, NY 10167-0002

Phone

(212) 922-0820

Fax

(212) 922-0833

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972775674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PARK AVE",
            "address_2": "41ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101670002",
            "telephone_number": "212-922-0820",
            "fax_number": "212-922-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PARK AVE",
            "address_2": "41ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101670002",
            "telephone_number": "212-922-0820",
            "fax_number": "212-922-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Prospect Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391444",
            "country_code": "US",
            "telephone_number": "732-414-6363",
            "fax_number": "732-268-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERARIO",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D100960500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040609-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972775674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Dequinzio, PA-C
• Elmol P Der
• Sujatha Der
• Anne-Karine Derac, LCSW
• Fatemeh Derakhshan, MD
• Ani Catherine Derashotian
• Aimee Michelle Derbes, DACM, L.AC.
• Susan Ann Derby, MA GNP-BC
• Christopher Armen Derderian, M.D.
• Evan S Derector

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.