BEVERLY R DEREN MD NPI 1467405613

NPI Information

NPI: 1467405613
Provider Name: BEVERLY R DEREN, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Address:
MOUNT KISCO MEDICAL GROUP, PC
90 SOUTH BEDFORD ROAD
MOUNT KISCO, NY
ZIP 10549
Phone: (914) 241-1050
Get Directions

Beverly R Deren, MD is a hematology internal medicine in Mount Kisco, NY. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Beverly R Deren, MD NPI is 1467405613. 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:

MOUNT KISCO MEDICAL GROUP, PC
90 SOUTH BEDFORD ROAD
MOUNT KISCO, NY
ZIP 10549-412
Phone: (914) 241-1050
Fax: (914) 242-1516

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/19/2009.

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	207RH0000X	Internal Medicine	Hematology	107220	NEW YORK	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	Other Provider Identifier Issuer
1	700002769	OTHER	NEW YORK	MEDICARE RAILROAD
2	563071	MEDICARE PIN	NEW YORK
3	00188550	MEDICAID	NEW YORK
4	0667910001	OTHER	NEW YORK	DME
5	5630706761	MEDICARE PIN	NEW YORK

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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