1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Physician Assistant
  6. NPI Profile

PRANVERA DERVISHI PA
NPI 1053713164
Physician Assistant - Medical in Bronx, NY

Active since September 19, 2014
1334 ASTOR AVE, PVH 2ND FLOOR, BRONX, NY 10469(646) 703-2048 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pranvera Dervishi Pa NPPES

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

PRANVERA DERVISHI PA (NPI 1053713164) is an individual medical provider in Bronx, New York, licensed in New York (018011) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1053713164
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePRANVERA DERVISHICredential: PA
Location Address1334 ASTOR AVE, PVH 2ND FLOORBronx, NY 10469-5832
Mailing Address1334 Astor Ave, Pvh 2nd FloorBronx, NY 10469-5832 · (646) 703-2048
Phone(646) 703-2048
Sole ProprietorNo
Enumeration DateSeptember 19, 2014
✔ NPI 1053713164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018011
1334 ASTOR AVE, Bronx, NY 10469
Open in Google Maps ↗

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 Pranvera Dervishi's NPI number?

The NPI number for Pranvera Dervishi is 1053713164. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Pranvera Dervishi located?

Pranvera Dervishi practices at 1334 Astor Ave Pvh 2nd Floor, Bronx, NY 10469. The listed phone number is (646) 703-2048.

What is Pranvera Dervishi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Pranvera Dervishi was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.