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EBONY DESIREE DEROCHE
NPI 1164859468
Licensed Practical Nurse in Bronx, NY

Active since October 01, 2013
2052 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Desiree Deroche NPPES

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

EBONY DESIREE DEROCHE (NPI 1164859468) is an individual licensed practical nurse in Bronx, New York, licensed in New York (315024) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1164859468
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEBONY DESIREE DEROCHE
Location Address2052 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address2052 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100
Phone(718) 671-2100
Sole ProprietorYes
Enumeration DateOctober 1, 2013
✔ NPI 1164859468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 315024
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2052 TILLOTSON AVE, Bronx, NY 10475
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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.

JOAN L DUNKLEY
Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
NICOLE ALEXANDER
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
BINTA BALDE
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
SALIMOTU OSENI
Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
SHERNETTE RICHARDSON
Licensed Practical Nurse
2052 TILLOTSON AVE, SUITE 101
BRONX, NY 10475
Bronx County (718) 671-2100
AMA SAKYI
Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
FRANCIUS COLAS
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
NORDIA COKE
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100

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 Ebony Deroche's NPI number?

The NPI number for Ebony Deroche is 1164859468. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Ebony Deroche located?

Ebony Deroche practices at 2052 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Ebony Deroche's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ebony Deroche was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.