Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aditya Manjul Derasari, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1902070725

Aditya Manjul Derasari, MD is an Orthopedic Surgery in Miami, Florida. Graduated from University of South Florida College of Medicine in 2008, 18 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
University of South Florida College of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 243-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 276427 (NY)

Record details

NPI number1902070725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2008
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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