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

Mr. Dereck Ali

Individual provider Emergency Registered Nurse · NPI 1750084448

Mr. Dereck Ali is an Emergency Registered Nurse in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

12316 147th St
Jamaica, NY 11436-1628
Phone: (917) 459-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 561703-01 (NY)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 561703-01 (NY)

Record details

NPI number1750084448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address12316 147th St, Jamaica, NY 11436-1628

Other providers in Jamaica