MR. MICHAEL JOSEPH DEROSA NP
NPI 1013971985
Nurse Practitioner - Adult Health in New York, NY

Active since April 17, 2006PECOS Enrolled
423 E 23RD ST, NEW YORK, NY 10010(212) 686-7500(212) 951-5444 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Michael Joseph Derosa Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JOSEPH DEROSA NP (NPI 1013971985) is an individual adult health provider in New York, New York, licensed in New York (30 303835) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013971985
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. MICHAEL JOSEPH DEROSACredential: NP
Location Address423 E 23RD STNew York, NY 10010-5011
Mailing Address6260 82nd StMiddle Village, NY 11379-1427 · (212) 686-7500 · Fax (212) 951-5444
Fax(212) 951-5444
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013971985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 30 303835
423 E 23RD ST, New York, NY 10010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Joseph Derosa Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Derosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Health
314 E MAIN ST
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
423 E 23RD ST
NEW YORK, NY 10010
Respiratory Therapist, Registered (Critical Care)
423 E 23RD ST, RESPIRATORY CARE SERVICES ROOM 13095S
NEW YORK, NY 10010
Urology
423 E 23RD ST
NEW YORK, NY 10010
Respiratory Therapist, Registered (General Care)
423 E 23RD ST, RESPIRATORY CARE RM 13090S
NEW YORK, NY 10010
Social Worker (Clinical)
423 E 23RD ST
NEW YORK, NY 10010
Radiology (Vascular & Interventional Radiology)
423 E 23RD ST, RADIOLOGY SERVICE
NEW YORK, NY 10010
Social Worker
423 E 23RD ST
NEW YORK, NY 10010
Social Worker
423 E 23RD ST
NEW YORK, NY 10010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derosa's NPI number?

The NPI number for Michael Derosa is 1013971985. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Michael Derosa located?

Michael Derosa practices at 423 E 23rd St, New York, NY 10010. The listed phone number is (212) 686-7500.

What is Michael Derosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michael Derosa enrolled in Medicare?

Yes. Michael Derosa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Derosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Derosa reassigns Medicare benefits to Michael Derosa Np Adult Health PC (Smithtown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Derosa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.