John P Derosa
Medical Specialty
Professional ID
- NPI: 1124081302
- PECOS ID: 9436172533
- Enrollment ID: I20060104000283
- Credential(MD, DO, DPM): MD
- Medical School: State University Of New York At Stony Brook School Of Medicine
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 330055
- Business Name (LBN)1: New York-presbyterianqueens
- Hospital CCN2: 330101
- Business Name (LBN)2: New York-presbyterian Hospital
- Hospital CCN3: 330193
- Business Name (LBN)3: Flushing Hospital Medical Center
Medical Practices
- Organization Name: Main Street Radiology At Bayside,llc
- Group Practice ID assigned by PECOS: 5395732671
- Number of Group Practice member: 34
Location
- Address1: 13625 37th Ave
- Address2:
- City: Flushing
- State: New York
- Zip Code: 11354
- Phone Number: (718)428-1500
Location
- Address1: 3225 Francis Lewis Blvd
- Address2:
- City: Flushing
- State: New York
- Zip Code: 11358
- Phone Number: (718)428-1500
Location
- Address1: 7206 Northern Blvd
- Address2:
- City: Jackson Heights
- State: New York
- Zip Code: 11372
- Phone Number: (718)428-1500
Medical Practices
- Organization Name: Radiology Of Main Street Pc
- Group Practice ID assigned by PECOS: 5799677522
- Number of Group Practice member: 39
Location
- Address1: 20 Longfellow Rd
- Address2:
- City: Great Neck
- State: New York
- Zip Code: 11023
- Phone Number: (718)428-1500
Location
- Address1: 78 Hampton Rd
- Address2:
- City: Garden City
- State: New York
- Zip Code: 11530
- Phone Number: (718)428-1500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):