Vanessa Derisca

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

754775 Issued in NY

Practice address

11729 222ND St
Cambria Heights, NY 11411-1616

Phone

(718) 954-0464

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1093382095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11729 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111616",
            "telephone_number": "718-954-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERISCA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "754775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Defreitas, MSSPED
• Liezl Catherine C. Del Rosario, PA-C
• Gisele Delacruz, TSHH
• Marie Syndie Delorme
• Danika Lorraine Denny
• Carine Desrouleaux, RN
• Niquette Destin, SPEECH-LANGUAGE PATH
• Rosemarie Catherine Detoma
• Dacia Devian Hazarian, MD
• Baldeep Singh Dhaliwal

• Registered Nurse in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.