M.M.DEREN,MD,PC
NPI 1689931867
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New London, CT

Active since April 12, 2012
125 SHAW ST, NEW LONDON, CT 06320(860) 443-5469 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About M.m.deren,md,pc NPPES

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

M.M.DEREN,MD,PC (NPI 1689931867) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in New London, Connecticut and active in the NPI registry since April 2012. The organization lists Michael M Deren, President, as its authorized official.

NPPES Registry Identity

NPI1689931867
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameM.M.DEREN,MD,PC
Location Address125 SHAW STNew London, CT 06320-4900
Mailing Address125 Shaw StNew London, CT 06320-4900 · (860) 443-5469
Organization SubpartNo
Authorized OfficialMichael M DerenPresident · (860) 443-5469
Enumeration DateApril 12, 2012
Last NPPES UpdateApril 24, 2012
NPI 1689931867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in CT · 15198
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
125 SHAW ST, New London, CT 06320

Other Identifiers 1

Medicare PIN060000059

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
125 SHAW ST
NEW LONDON, CT 06320
Specialist
125 SHAW ST
NEW LONDON, CT 06320
Community/Behavioral Health
125 SHAW ST
NEW LONDON, CT 06320

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 M.M.Deren,md,pc's NPI number?

The NPI number for M.M.Deren,md,pc is 1689931867. It was assigned to this organization in the NPPES registry on April 12, 2012.

Where is M.M.Deren,md,pc located?

M.M.Deren,md,pc is located at 125 Shaw St, New London, CT 06320. The listed phone number is (860) 443-5469.

What is M.M.Deren,md,pc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for M.M.Deren,md,pc was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.