Denise Pace, MS, CCC-SLP, TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015322 Issued in NY

Practice address

15 Concourse W
Brightwaters, NY 11718-2003

Phone

(631) 796-0545

NPI assigned

Dec 20, 2016

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1053856492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONCOURSE W",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117182003",
            "telephone_number": "631-796-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONCOURSE W",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117182003",
            "telephone_number": "631-796-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP, TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Priscilla Pavai, PT
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• Paulinder Singh Rai, DO, MPH
• Alexandria Renieris

• Speech-Language Pathologist in Brightwaters, NY
• Providers in Brightwaters, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.