Dr. John P. Dervan, MD
Dr. John P. Dervan, MD is a Cardiovascular Disease (Cardiology) in Stony Brook, New York. Graduated from Saint Louis University School of Medicine in 1976, 50 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 50
- Trained at
- Saint Louis University School of Medicine
- 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.
Practice location Address checks out
100 Nicolls Rd # T-16030Stony Brook, NY 11794-0001
Phone: (631) 444-3655
Fax: (631) 444-1054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 166207 (NY) |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 166207 (NY) |
Record details
| NPI number | 1871524439 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | January 25, 2022 |
| Certification date | January 25, 2022 |
| Mailing address | 100 Nicolls Rd # T-16030, Stony Brook, NY 11794-8160 |
Medicare enrollment
| Medicare specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
|---|---|
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1976 (50 years in practice) |
| Group practice | Stony Brook Internists University Faculty Practice Corporation — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Stony Brook
-
On Chen, MD
Hsc T16-080, Stony Brook, NY 11794-6002 · (631) 444-1060
-
Dr. Arash Ehteshami Afshar, MD, MSC
1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 · (631) 941-2273