Melissa Demeri, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025412 Issued in NY

Practice address

179 Granny Rd
Farmingville, NY 11738-2127

Phone

(631) 696-8660

NPI assigned

Dec 1, 2016

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

State licenses

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1083157580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 STRONG AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382127",
            "telephone_number": "631-696-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERI",
        "first_name": "MELISSA",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail L David, M.S.
• Anthony Rocco De Marco, DDS
• Tiffany Diane Dean, COTA
• Elliot Thomas Debrosse
• Gina Marie Dematas, MS, CCC-SLP, TSSLD
• Angie Derosa
• Erin Colleen Dietzel, REGISTERED NURSE
• Melissa Discalo
• Gabrielle Alexis Dobies, RDN, CDN
• Roderick Dodoo, RRT, RPSGT

• Speech-Language Pathologist in Farmingville, NY
• Providers in Farmingville, 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 May 23, 2023; 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.