Priyankar De, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

1423-61 Issued in WI

Practice address

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Phone

(414) 266-3347

NPI assigned

Feb 2, 2024

Sex

Male

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1245093186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132899",
            "telephone_number": "612-457-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-266-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE",
        "first_name": "PRIYANKAR",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": "1423-61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jochellee Elijah Aniog De Leon
• Adriana Guzman De Moya, M.D.
• Lynnette Nicole De Rosa, LCSW
• Jessica Lynn De Rubeis, RN
• Catherine Veronica De Young, BSW
• Michele Ann De'Brabant, RN BSN
• Adella S Deacon, PT
• Albojay Deacon
• Laura Deacon
• Mexton M Deacon, D.P.M.

• Genetic Counselor (M.S.) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Genetic Counselor (M.S.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.