Community Cancer Care Specialists
NPI 1407962442 · Non-Pharmacy Dispensing Site · Mount Clemens, MI
Community Cancer Care Specialists is a Non-Pharmacy Dispensing Site organization in Mount Clemens, MI (NPI 1407962442).
Provider details
- NPI number
- 1407962442
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Leslie Nowak, Practice Manager(586) 493-3435
- License
- 5101009575 (MI)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Paul M Derderian DO
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Community Cancer Care Specialists's NPI number?
- Community Cancer Care Specialists's National Provider Identifier (NPI) is 1407962442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Cancer Care Specialists?
- Community Cancer Care Specialists is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Community Cancer Care Specialists located?
- Community Cancer Care Specialists's practice location on file with NPPES is 1030 Harrington St, Mount Clemens, MI 48043-2967.
- What is Community Cancer Care Specialists's phone number?
- The practice phone number listed in the NPPES registry for Community Cancer Care Specialists is (586) 493-3440.
- Who is the authorized official for Community Cancer Care Specialists?
- The authorized official listed on Community Cancer Care Specialists's NPPES record is Leslie Nowak, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Cancer Care Specialists's NPI active?
- Yes — Community Cancer Care Specialists's NPI (1407962442) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.