MICHAEL DEROSA NP ADULT HEALTH PC
NPI 1831817824
Nurse Practitioner - Adult Health in Smithtown, NY

Q: What is Michael Derosa Np Adult Health PC's NPI number?

The NPI number for Michael Derosa Np Adult Health PC is 1831817824. It was assigned to this organization in the NPPES registry on August 16, 2022.

Q: What is Michael Derosa Np Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since August 16, 2022

314 E MAIN ST, SMITHTOWN, NY 11787(516) 983-3452 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Derosa Np Adult Health Pc NPPES

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

MICHAEL DEROSA NP ADULT HEALTH PC (NPI 1831817824) is a healthcare organization registered as an adult health in Smithtown, New York and active in the NPI registry since August 2022. The organization lists Michael Derosa, President, as its authorized official.

NPPES Registry Identity

NPI1831817824

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameMICHAEL DEROSA NP ADULT HEALTH PC

Location Address314 E MAIN STSmithtown, NY 11787-2901

Mailing Address4 Brasswood RdSaint James, NY 11780-3410

Phone(516) 983-3452

Organization SubpartNo

Authorized OfficialMichael DerosaPresident · (516) 983-3452

Enumeration DateAugust 16, 2022

NPPES CertifiedAugust 16, 2022

✔ NPI 1831817824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

314 E MAIN ST, Smithtown, NY 11787

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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

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 Michael Derosa Np Adult Health PC's NPI number?

The NPI number for Michael Derosa Np Adult Health PC is 1831817824. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Michael Derosa Np Adult Health PC located?

Michael Derosa Np Adult Health PC is located at 314 E Main St, Smithtown, NY 11787. The listed phone number is (516) 983-3452.

What is Michael Derosa Np Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Michael Derosa Np Adult Health PC was last updated on August 16, 2022. 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.