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MR. JOSEPH N DERAVILLE SR. PA-C
NPI 1144536152
Physician Assistant - Medical in Iselin, NJ

Active since August 27, 2010
557 NEW DOVER RD, ISELIN, NJ 08830(732) 388-4128 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Joseph N Deraville Sr. Pa-c NPPES

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

MR. JOSEPH N DERAVILLE SR. PA-C (NPI 1144536152) is an individual medical provider in Iselin, New Jersey, licensed in New Jersey (25MP00142700) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1144536152
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOSEPH N DERAVILLE SR.Credential: PA-C
Location Address557 NEW DOVER RDIselin, NJ 08830-1127
Mailing Address557 New Dover RdIselin, NJ 08830-1127 · (732) 388-4128
Phone(732) 388-4128
Sole ProprietorYes
Enumeration DateAugust 27, 2010
✔ NPI 1144536152 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 NJ · 25MP00142700
557 NEW DOVER RD, Iselin, NJ 08830
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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 Joseph Deraville's NPI number?

The NPI number for Joseph Deraville is 1144536152. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Where is Joseph Deraville located?

Joseph Deraville practices at 557 New Dover Rd, Iselin, NJ 08830. The listed phone number is (732) 388-4128.

What is Joseph Deraville'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 Joseph Deraville was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.