Michael Derosa NP Adult Health PC
NPI 1831817824ActiveOrganization· Nurse Practitioner, Adult Health· Smithtown, NY
Nurse Practitioner, Adult Health in Smithtown, New York, registered in NPPES in August 2022. The authorized official on file is Michael Derosa, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831817824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2022 |
| Last updated in NPPES | Aug 16, 2022 |
| Certified by provider | Aug 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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