Individual provider Active NPI

Deirdre Creegan, AUD

  • Audiologist
  • New York, NY
National Provider Identifier
1033709829
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
02936 Issued in NY
Practice address
12 E 44TH St FL 3
New York, NY 10017-3674
Phone
(212) 514-6933
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 02936 NY Primary

Addresses

Primary practice location

12 E 44TH St FL 3
New York, NY 10017-3674

Mailing address

12 E 44TH St FL 3
New York, NY 10017-3674
Phone (516) 974-1457

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Merrick Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002936NYMDCardiovascular Disease Physician
02936NYMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1033709829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 44TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173674",
            "telephone_number": "516-974-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 44TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173674",
            "telephone_number": "212-514-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEGAN",
        "first_name": "DEIRDRE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "02936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Merrick",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "897 Madison Pl",
            "city": "Merrick",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115661206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.