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DR. MUSTAFA SECKIN DERVISH M.D.
NPI 1437111085
Surgery in New York, NY

Active since April 06, 2006
227 MADISON ST, GOUVERNEUR MEDICAL STAFF OFFICE, ROOM 1249, NEW YORK, NY 10002(212) 238-7614(212) 238-7009 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mustafa Seckin Dervish M.d. NPPES

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

DR. MUSTAFA SECKIN DERVISH M.D. (NPI 1437111085) is an individual surgery provider in New York, New York, licensed in New York (125039) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1437111085
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MUSTAFA SECKIN DERVISHCredential: M.D.
Location Address227 MADISON ST, GOUVERNEUR MEDICAL STAFF OFFICE, ROOM 1249New York, NY 10002-7537
Mailing Address120 Central Park S, 3dNew York, NY 10019-1560 · (212) 245-8973
Phone(212) 238-7614
Fax(212) 238-7009
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 27, 2010
✔ NPI 1437111085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 125039
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 125039 (NY)
227 MADISON ST, New York, NY 10002
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Other Identifiers 2

Medicare PIN39H6420781NY
Medicare PINA400006987NY

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.

MEREDITH A WRIGHT M.S., CCC-SLP
Speech-Language Pathologist
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-5025
DR. PATRICIA PATRICIA NEIL DDS
Dentist
227 MADISON ST, MEDICAL STAFF
NEW YORK, NY 10002
New York County (212) 238-7614
DR. EILEEN MARIE MILES M.D.
Pediatrics
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7614
MS. CONNIE WAH TAM OT
Occupational Therapist
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249
NEW YORK, NY 10002
New York County (212) 238-7614
BENNY RIGOBERTO GUILLERMO NP
Nurse Practitioner
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7680
DR. MIN XU MD
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7409
MS. YUEN FAN WONG LCSW
Social Worker (Clinical)
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7897
DR. JAMES AUSTIN SCHMIDTBERGER MD
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-8176

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 Mustafa Dervish's NPI number?

The NPI number for Mustafa Dervish is 1437111085. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Mustafa Dervish located?

Mustafa Dervish practices at 227 Madison St Gouverneur Medical Staff Office, Room 1249, New York, NY 10002. The listed phone number is (212) 238-7614.

What is Mustafa Dervish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mustafa Dervish was last updated on July 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.