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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: July 19, 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
Phone(607) 763-6075
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

JAMES CROSBY MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
JOHN WACENDAK MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
OLAYINKA O WILHELM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST, DIABETES CENTER - PICCIANO 2
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
CHRISTOPHER W RYAN MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
DEBRA RUTKOWSKI MS, APRN, BC-FNP, CD
Nurse Practitioner (Family)
40 ARCH ST, DIABETES EDUCATION AND MANAGEMENT CENTER
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
MARITA POWELL DO
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
DR. JOHN JOSEPH KELLY III M.D.
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
JENNIFER J RACE CSW
Social Worker (Clinical)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
STACY LYNN CONGDON FNP
Nurse Practitioner (Family)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
BRENDA L KOSYDAR RN, BSN, CDE
Registered Nurse (Diabetes Educator)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
DR. AHMED FAISAL CHOWDHURY MD
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
UNITED HEALTH SERVICES INC
Registered Nurse (Diabetes Educator)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
JOY A FORSBERG RN,CDE
Registered Nurse (Diabetes Educator)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
JILLENE MYRNELLE BRATHWAITE D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
RANA ZAHEER AHMAD MD
Family Medicine (Geriatric Medicine)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
JON-ERIK WAGNER M.D.
Student in an Organized Health Care Education/Training Program
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
JULIE DOUGLASS
Dietitian, Registered
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6092
MRS. JUDITH LATHROP SAMSEL RN
Registered Nurse (Diabetes Educator)
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6209
LORNE R CAMPBELL SR. MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075
KATHERINE HOLMES MD
Family Medicine
40 ARCH ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6075

Frequently Asked Questions

What is Perika Deroche's NPI number?

The NPI number assigned to this healthcare provider is 1093001422, enumerated as an "individual" on June 23, 2011.

Where is the provider located?

The provider is located at 40 ARCH ST JOHNSON CITY, NY 13790 and the phone number is (607) 763-6075.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.