Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSEPH N DERAVILLE SR., PA-C
Active Sole ProprietorMedical Physician Assistant · ISELIN, NJ
Registration Details
- NPI Number
- 1144536152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2010 (15.651647792944 yrs)
- Last Updated
- Aug 27, 2010
- License
-
25MP00142700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
557 NEW DOVER RDISELIN, NJ, 088301127Browse NJ providers · Browse ZIP 08830
- Phone
- 7323884128
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ISELIN, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. SARA ZUCKERMAN | PA | 1770993248 |
| SOWJANYA KANURI | PA-C | 1053714543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.