Active NPIIndividual providerSole proprietor

Dr. Renee Derosa, DO

Internal Medicine in Turnersville, New Jersey

NPI Number1700230919
Practice location
435 Hurffville Cross Keys RD, Turnersville, NJ 08012-2453
Fax
856-302-5932
Last updated
September 12, 2019

Renee Derosa is an Internal Medicine based in Turnersville, NJ. Renee Derosa practices in Turnersville, NJ and has the professional credentials of DO. The NPI Number for Renee Derosa is 1700230919 and holds a License No. 25MB10609100 (NJ). The current practice location address for Renee Derosa is 435 Hurffville Cross Keys RD, Turnersville, NJ 08012-2453 and can be reached out via phone at 856-513-4124 and via fax at 856-302-5932.

Provider Profile Details

NPI Number
1700230919
Provider Name
Renee Derosa
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
435 Hurffville Cross Keys RD, Turnersville, NJ 08012-2453
Phone Number
856-513-4124
Fax Number
856-302-5932
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
Renee Tehrani (Former Name)
Provider Enumeration Date
April 14, 2016
Last Update Date
September 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Hurffville Cross Keys RD
Turnersville, NJ 08012-2453
Zip
08012-2453
Phone Number
856-513-4124
Fax Number
856-302-5932
Turnersville, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
151 Fries Mill RD Ste 301
Turnersville, NJ 08012-2016
City
Turnersville
State
NJ
Zip
08012-2016
Phone Number
856-513-4124
Fax Number
856-302-5932

License Information

License Number (1)
25MB10609100
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
OT016990
License State (2)
PA
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Renee Derosa, DO?

The NPI number of Dr. Renee Derosa, DO is 1700230919. It was assigned on April 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Renee Derosa, DO?

Dr. Renee Derosa, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB10609100.

Where does Dr. Renee Derosa, DO practice?

The practice location is 435 Hurffville Cross Keys RD, Turnersville, NJ 08012-2453. The office can be reached at 856-513-4124 (phone) or 856-302-5932 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700230919 directly on the NPPES registry website.

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