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

Derek Mazique

Individual provider Internal Medicine Physician · NPI 1033537048

Derek Mazique is an Internal Medicine in New York, New York. Graduated from Perelman School of Med at the University of Pennsylvania in 2014, 12 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

5141 Broadway
New York, NY 10034
Phone: (212) 932-5218
Fax: (212) 932-5458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 288108 (NY)

Record details

NPI number1033537048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2014 (12 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York