DR. PERIKA SHAUGN DEROCHE MD
NPI 1093001422
Student in an Organized Health Care Education/Training Program in Johnson City, NY

Active since June 23, 2011
40 ARCH ST, JOHNSON CITY, NY 13790(607) 763-6075(607) 763-5234 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Perika Shaugn Deroche Md NPPES

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

DR. PERIKA SHAUGN DEROCHE MD (NPI 1093001422) is an individual student in an organized health care education/training program in Johnson City, New York and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1093001422
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PERIKA SHAUGN DEROCHECredential: MD
Location Address40 ARCH STJohnson City, NY 13790-2102
Mailing Address40 Arch StJohnson City, NY 13790-2102 · (607) 763-6075 · Fax (607) 763-5234
Fax(607) 763-5234
Sole ProprietorNo
Enumeration DateJune 23, 2011
NPI 1093001422 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.
40 ARCH ST, Johnson City, NY 13790

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.

Dietitian, Registered
40 ARCH ST
JOHNSON CITY, NY 13790
Dietitian, Registered
40 ARCH ST
JOHNSON CITY, NY 13790
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST, DIABETES CENTER - PICCIANO 2
JOHNSON CITY, NY 13790
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST
JOHNSON CITY, NY 13790
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790

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 Perika Deroche's NPI number?

The NPI number for Perika Deroche is 1093001422. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Perika Deroche located?

Perika Deroche practices at 40 Arch St, Johnson City, NY 13790. The listed phone number is (607) 763-6075.

What is Perika Deroche'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 Perika Deroche was last updated on June 23, 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.