MELISSA ELLEN DERE MD NPI 1376804096

NPI Information

  • NPI: 1376804096
  • Provider Name: MELISSA ELLEN DERE, MD
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 732 5TH AVE
    BROOKLYN, NY
    ZIP 11232
  • Phone: (212) 226-7666

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NPI Details

Melissa Ellen Dere, MD is an adolescent medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Melissa Ellen Dere, MD NPI is 1376804096. 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:

732 5TH AVE
BROOKLYN, NY
ZIP 11232
Phone: (212) 226-7666
Fax: (212) 202-7988

The enumeration date for this NPI number is 5/30/2012 and was last updated on 12/11/2018.

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
12080A0000XPediatricsAdolescent Medicine274910NEW YORKYes

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: 3/30/2025

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