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BARRY DEROSE MS
NPI 1619663200
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 17, 2023
2900 W QUEEN LN, PHILADELPHIA, PA 19129(215) 991-8100 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry Derose Ms NPPES

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

BARRY DEROSE MS (NPI 1619663200) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1619663200
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBARRY DEROSECredential: MS
Location Address2900 W QUEEN LNPhiladelphia, PA 19129-1033
Mailing Address2900 W Queen LnPhiladelphia, PA 19129-1033
Phone(215) 991-8100
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 15, 2023
✔ NPI 1619663200 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.
2900 W QUEEN LN, Philadelphia, PA 19129
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Other Providers at the Same Location NPPES 7

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

DIANE GOTTLIEB MD
Psychiatry & Neurology (Psychiatry)
2900 W QUEEN LN, SUITE 221H
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8532
ANN MARIE MASIELLO
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (908) 420-7516
MR. ATHAN GEORGE ZAVRAS BA
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8100
ALEXANDRA R PORTUGUES MS
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8202
JOHN ALBERT JANOSEVIC
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8202
NICOLE MAURER
Surgery
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8100
ERIK LI
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (301) 818-2133

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 Barry Derose's NPI number?

The NPI number for Barry Derose is 1619663200. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Barry Derose located?

Barry Derose practices at 2900 W Queen Ln, Philadelphia, PA 19129. The listed phone number is (215) 991-8100.

What is Barry Derose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Barry Derose was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.