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Tiffany Derue
NPI 1629331020 · Specialist · Newark, NY
Tiffany Derue is a Specialist provider in Newark, NY (NPI 1629331020).
Provider details
- NPI number
- 1629331020
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% 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
848 Peirson Ave
Newark, NY 14513-9762
Phone: (315) 331-2086
Street-level locationGet directions
Mailing address
5748 Ridge Rd
Williamson, NY 14589-9717
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Frequently asked questions
- What is Tiffany Derue's NPI number?
- Tiffany Derue's National Provider Identifier (NPI) is 1629331020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Derue's specialty?
- Tiffany Derue is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tiffany Derue located?
- Tiffany Derue's practice location on file with NPPES is 848 Peirson Ave, Newark, NY 14513-9762.
- What is Tiffany Derue's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Derue is (315) 331-2086.
- Is Tiffany Derue's NPI active?
- Yes — Tiffany Derue's NPI (1629331020) is active in the NPPES registry as of the last update on 2012-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.