Active NPI
Denise Elayne Altman, MS,CCC/SLP
- Speech-Language Pathologist
- Suffern, NY
National Provider Identifier
1043473077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003966-1
- Practice address
- 18 Parkside Dr
Suffern, NY 10901-7644 - Phone
- (201) 694-1016
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003966-1 | NY | Primary |
Addresses
Primary practice location
18 Parkside Dr
Suffern, NY 10901-7644
Mailing address
43 Canterbury Dr
Ramsey, NJ 07446-2504
Phone (201) 934-1640
Other names 1
- Miss Densie Elayne Lieberman
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003966-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1043473077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CANTERBURY DR",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462504",
"telephone_number": "201-934-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 PARKSIDE DR",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109017644",
"telephone_number": "201-694-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "DENISE",
"middle_name": "ELAYNE",
"name_prefix": "Mrs.",
"credential": "MS,CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003966-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENSIE",
"last_name": "LIEBERMAN",
"middle_name": "ELAYNE",
"prefix": "MISS",
"credential": "MS,CCC/SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.