Anna Anush Derian, MD
Family Medicine in Hoboken, NJ. Individual provider (NPI-1).
NPI number1891361671
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1891361671
- Entity type
- Individual (NPI-1)
- Name
- Anna Anush Derian
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA12220700 | NJ | Yes |
Practice location
5 Marine View PlzHoboken, NJ 07030-5756
Phone 848-308-4105 · Fax 848-308-4106
Mailing address
331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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