Individual provider Active NPI

Maris Teel Deluca, M.S., CF-SLP

  • Specialist
  • New York, NY
National Provider Identifier
1174191779
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
116 W 32ND St
New York, NY 10001-3212
Phone
(212) 564-2350
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

116 W 32ND St
New York, NY 10001-3212

Mailing address

116 W 32ND St
New York, NY 10001-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230522000790 NY Practitioner - Qualified Speech Language Pathologist 2365808151 Reassigns benefits to 1 organization
I20250317002253 PA Practitioner - Qualified Speech Language Pathologist 2365808151 Reassigns benefits to 1 organization
I20250318000558 FL Practitioner - Qualified Speech Language Pathologist 2365808151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031979NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab SLP FL LLC CurrentSince Jan 11, 2025 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC CurrentSince May 1, 2023 Accepting new patients
Fox Rehabilitation Services Inc CurrentSince Jan 11, 2025 Accepting new patients

Locations

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

7 Carnegie Plz
Cherry Hill, NJ 08003

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1174191779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013212",
            "telephone_number": "212-564-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "MARIS",
        "middle_name": "TEEL",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.