BEVERLY R DEREN (NPI# 1467405613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467405613 |
Entity Type | Individual |
Full Name | BEVERLY R DEREN |
Credential | MD |
Practice Address |
Mount Kisco Medical Group, PC 90 South Bedford Road Mount Kisco NY 10549-3412 |
Mailing Address |
Mount Kisco Medical Group, PC 90 South Bedford Rd Mount Kisco NY 10549-3412 |
Practice Telephone | 9142411050 |
Practice Fax Number | 9142421516 |
Mailing Telephone | 9142411050 |
Mailing Fax Number | 9142421516 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2009-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
107220 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DME | 0667910001 | 01 |
NY | 00188550 | 05 | |
NY | MEDICARE RAILROAD | 700002769 | 01 |
Street Address |
MOUNT KISCO MEDICAL GROUP, PC 90 SOUTH BEDFORD ROAD |
City | MOUNT KISCO |
State | NY |
Zip Code | 10549-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629018239 | Antoinette Nigro | Obstetrics & Gynecology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-06-08 |
1558301861 | Timothy D Mattison | Dermatology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-06-07 |
1043266935 | Daniel E Shapiro | Ophthalmology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-25 |
1861448755 | Alan J Schefer | Orthopaedic Surgery | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-25 |
1821043019 | John T Raffalli | Internal Medicine | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-24 |
1942255096 | Michele L Mcleod | Ophthalmology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-24 |
1144275306 | Kevin B Reilly | Obstetrics & Gynecology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-24 |
1669425484 | Abe Levy | Internal Medicine | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
Find all providers in zip 10549 |
Taxonomy Code | 207RH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669554366 | Thomas J Lester | Internal Medicine | 400 E Main St, Mount Kisco Medical Group PC, Mount Kisco, NY 10549-3417 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053920793 | Kylee Maclachlan | Internal Medicine | 250 E 77th St Apt 5a, New York, NY 10075-2241 | 2020-07-29 |
1174998249 | Cancer and Blood Medical Services of Ny, PC | Internal Medicine | 2 Longview Ave # 4, White Plains, NY 10601-5000 | 2015-12-01 |
1114283785 | Marcia Noreen Paddock | Internal Medicine | 428 E. 72nd St, Suite 300, New York, NY 10021 | 2012-04-07 |
1801174909 | Fred Rosner | Internal Medicine | 750 Elvira Avenue, Far Rockaway, NY 11691-5405 | 2011-07-25 |
1891086740 | Lisa Dianne Cupit | Internal Medicine | 5 Deauville Ct, Northport, NY 11768-2105 | 2011-04-27 |
1184923898 | Daniel Edward Sammartino | Internal Medicine | 2 Longview Ave Fl 2, White Plains, NY 10601-5000 | 2011-03-21 |
1669609343 | Catherine Josephine Pelczar-wissner | Internal Medicine | 31 Wood Ave, Ardsley, NY 10502-1025 | 2009-06-19 |
1982856415 | Marshall Albert Lichtman | Internal Medicine | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2008-10-15 |
1174714927 | Barry Wenz | Internal Medicine | 752 Titicus Rd, North Salem, NY 10560-2201 | 2007-08-07 |
1013134964 | Hudson Valley Health Group | Internal Medicine | 3141 Us Route 9w, Suite 100, New Windsor, NY 12553-6709 | 2007-04-20 |
Find all providers with the same taxonomy |
City | MOUNT KISCO |
Zip Code | 10549 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.