DR. DONALD JOHN DERASKA MD NPI 1841280047

NPI Information

NPI: 1841280047
Provider Name: DR. DONALD JOHN DERASKA, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
92 MONTVALE AVE STE 3675
STONEHAM, MA
ZIP 02180
Phone: (781) 438-1800
Get Directions

DR. Donald John Deraska, MD is an endocrinology and diabetes and metabolism internal medicine in Stoneham, MA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Donald John Deraska, MD NPI is 1841280047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

92 MONTVALE AVE STE 3675
STONEHAM, MA
ZIP 02180-625
Phone: (781) 438-1800
Fax: (781) 438-1822

The enumeration date for this NPI number is 10/27/2005 and was last updated on 10/30/2018.

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
1	207R00000X	Internal Medicine		73990	MASSACHUSETTS	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	73990	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	Other Provider Identifier Issuer
1	724164	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	3098311	MEDICAID	MASSACHUSETTS
3	J13217	OTHER	MASSACHUSETTS	BCBS MA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »