Individual provider Active NPI

Joy Ann Staggers-Deberny

  • Specialist
  • Amherst, NY
National Provider Identifier
1255319489
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
190590 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01561417MedicaidNY

Other names 1

  • Dr. Joy Ann Staggers-Deberny Professional name

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

LicenseStateTypeSpecialty
190590NYMDSpecialist

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.

Verify at the official NPI Registry.