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MELISSA ELLEN DERE MD
NPI 1376804096
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since May 30, 2012
732 5TH AVE, BROOKLYN, NY 11232(212) 226-7666(212) 202-7988 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Ellen Dere Md NPPES

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

MELISSA ELLEN DERE MD (NPI 1376804096) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (274910) and active in the NPI registry since May 2012. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1376804096
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameMELISSA ELLEN DERECredential: MD
Location Address732 5TH AVEBrooklyn, NY 11232
Mailing Address732 5th AveBrooklyn, NY 11232-1306 · (212) 226-7666 · Fax (212) 202-7988
Phone(212) 226-7666
Fax(212) 202-7988
Sole ProprietorNo
Enumeration DateMay 30, 2012
Last NPPES UpdateDecember 11, 2018
✔ NPI 1376804096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 274910
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
732 5TH AVE, Brooklyn, NY 11232
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Secondary Practice Location 1

Location 1732 5th AveBrooklyn, NY 11232 · Phone (212) 226-7666 · Fax (212) 202-7988

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY JOSEPHINE MULLIN CPNP
Nurse Practitioner (Pediatrics)
732 5TH AVE
BROOKLYN, NY 11232
Kings County (347) 941-3611

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 Melissa Dere's NPI number?

The NPI number for Melissa Dere is 1376804096. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Melissa Dere located?

Melissa Dere practices at 732 5th Ave, Brooklyn, NY 11232. The listed phone number is (212) 226-7666.

What is Melissa Dere's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Melissa Dere was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.