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

Individual provider Specialist · NPI 1821035262

Dr. Jacques A Derzie, MD is a Specialist in New Hyde Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

1840 Lakeville Rd
New Hyde Park, NY 11040-1930
Phone: (516) 354-1234
Fax: (516) 354-6385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 099934 (NY)
Specialist Taxonomy 174400000X

Record details

NPI number1821035262
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2006
Last updated in NPPESDecember 30, 2008
Mailing address1840 Lakeville Road, New Hyde Park, NY 11040-1930

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