Active NPI
Joy Ann Staggers-Deberny
- Specialist
- Amherst, NY
National Provider Identifier
1255319489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 190590
- Practice address
- 3980 Sheridan Dr
Sutie 401
Amherst, NY 14226-1727 - Phone
- (716) 625-0050
- Fax
- (716) 625-6701
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 190590 | NY | Primary |
Addresses
Primary practice location
3980 Sheridan Dr
Sutie 401
Amherst, NY 14226-1727
Mailing address
5470 Tonawanda Creek Rd
All Correspondence to Above Address
North Tonawanda, NY 14120-9540
Phone (716) 625-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01561417 | Medicaid | NY |
Other names 1
- Dr. Joy Ann Staggers-Deberny
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190590 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255319489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5470 TONAWANDA CREEK RD",
"address_2": "ALL CORRESPONDENCE TO ABOVE ADDRESS",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141209540",
"telephone_number": "716-625-0050",
"fax_number": "716-625-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 SHERIDAN DR",
"address_2": "SUTIE 401",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261727",
"telephone_number": "716-625-0050",
"fax_number": "716-625-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGERS-DEBERNY",
"first_name": "JOY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "190590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01561417",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "STAGGERS-DEBERNY",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.