JENNIFER DERKAZARIAN NP NPI 1669536983

NPI Information

NPI: 1669536983
Provider Name: JENNIFER DERKAZARIAN, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8863
Get Directions

Jennifer Derkazarian, NP is an adult health nurse practitioner in Burlington, MA. Jennifer Derkazarian, NP NPI is 1669536983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8863
Fax: (781) 744-5261

The NPI 1669536983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 12/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	233930	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	110018448A	MEDICAID	MASSACHUSETTS
2	NP397101	MEDICARE PIN	MASSACHUSETTS
3	P72656	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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