DR. DEREK EFFIOM MBBS
NPI 1063360386
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 20, 2026

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek Effiom Mbbs NPPES

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

DR. DEREK EFFIOM MBBS (NPI 1063360386) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063360386
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DEREK EFFIOMCredential: MBBS
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address6 Follen StCambridge, MA 02138-3503
Sole ProprietorNo
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
NPI 1063360386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST, Boston, MA 02114

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Derek Effiom's NPI number?

The NPI number for Derek Effiom is 1063360386. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Derek Effiom located?

Derek Effiom practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 251-5925.

What is Derek Effiom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Effiom was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.