MS. SUSAN ANN DERBY MA GNP-BC
NPI 1083880645
Nurse Practitioner - Gerontology in New York, NY

Active since May 05, 2008
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK, NY 10065(646) 888-2723(646) 888-2735 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Ann Derby Ma Gnp-bc NPPES

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

MS. SUSAN ANN DERBY MA GNP-BC (NPI 1083880645) is an individual gerontology provider in New York, New York, licensed in New York (340138) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1083880645
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SUSAN ANN DERBYCredential: MA GNP-BC
Location Address1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTERNew York, NY 10065-6007
Mailing Address1275 York Ave, Memorial Sloan-kettering Cancer Center Box 52New York, NY 10065-6007 · (646) 888-2723 · Fax (646) 888-2735
Fax(646) 888-2735
Sole ProprietorYes
Enumeration DateMay 5, 2008
Last NPPES UpdateApril 8, 2011
NPI 1083880645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NY · 340138
1275 YORK AVE, New York, NY 10065

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Susan Derby's NPI number?

The NPI number for Susan Derby is 1083880645. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Susan Derby located?

Susan Derby practices at 1275 York Ave Memorial Sloan Kettering Cancer Center, New York, NY 10065. The listed phone number is (646) 888-2723.

What is Susan Derby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Susan Derby was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.