Elaine Deluca-Stephan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012114 Issued in NY

Practice address

2801 Shore Rd
Bellmore, NY 11710-4820

Phone

(516) 679-2950

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellmore Union Free School District

  • Local Education Agency (LEA)
  • Bellmore, NY
  • NPI 1346524741
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1104508324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WINTHROP AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104237",
            "telephone_number": "516-679-2941",
            "fax_number": "516-783-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SHORE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104820",
            "telephone_number": "516-679-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA-STEPHAN",
        "first_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Dawkins
• Pamela De Los Rios
• Jennifer De Vastey
• Kyle Robert Deakin
• Adrianna Iris Dejesus, LMT
• Christina Deluca
• Danielle Dematteo
• Brett Steven Devergilio, MAT
• Jamie Diamond
• Robin Lynn Diamond, PT

• All providers in Bellmore, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.