1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

REBECA CLERVILLE DERATUS FNP
NPI 1912194358
Nurse Practitioner - Family in New York, NY

Active since October 01, 2007
1 PENN PLAZA 7TH FL STE 725, EVERCARE UNITED HEALTHCARE, NEW YORK, NY 10119(212) 216-6568(212) 216-6606 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rebeca Clerville Deratus Fnp NPPES

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

REBECA CLERVILLE DERATUS FNP (NPI 1912194358) is an individual family provider in New York, New York, licensed in New York (335173) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1912194358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECA CLERVILLE DERATUSCredential: FNP
Location Address1 PENN PLAZA 7TH FL STE 725, EVERCARE UNITED HEALTHCARENew York, NY 10119
Mailing Address1 Penn Plaza 7th Fl Ste, Evercare United HealthcareNew York, NY 10119 · (212) 216-6568 · Fax (212) 216-6606
Phone(212) 216-6568
Fax(212) 216-6606
Sole ProprietorYes
Enumeration DateOctober 1, 2007
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1912194358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 335173
1 PENN PLAZA 7TH FL STE 725, New York, NY 10119
Open in Google Maps ↗

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 Rebeca Clerville Deratus's NPI number?

The NPI number for Rebeca Clerville Deratus is 1912194358. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Rebeca Clerville Deratus located?

Rebeca Clerville Deratus practices at 1 Penn Plaza 7th Fl Ste 725 Evercare United Healthcare, New York, NY 10119. The listed phone number is (212) 216-6568.

What is Rebeca Clerville Deratus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebeca Clerville Deratus was last updated on September 14, 2009. 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.