Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. John P Derosa, M.D.

Diagnostic Radiology Physician in Flushing, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124081302

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Registry record

Entity type Individual (Type 1)

Name Dr. John P Derosa

Credential M.D.

Sex Male

Practice address 5645 Main St, Flushing, NY, 11355

Phone (718) 670-1594

Fax (718) 670-1901

Enumeration date Apr 10, 2006

Last updated in NPPES Nov 3, 2011

Taxonomy & licenses

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Primary

2085R0203X Therapeutic Radiology Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians · License 205939 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
01824991	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is John Derosa?

John Derosa is registered in NPPES with the primary taxonomy of Diagnostic Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-03.