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

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
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Practice location Address checks out

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

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