Sandra Marie Pagan Desimone, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020120 Issued in NY

Practice address

1053 Saw Mill River Rd
Suite 10
Ardsley, NY 10502-1048

Phone

(845) 638-3072

NPI assigned

Jul 11, 2010

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Female

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 Arts

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1467764027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD",
            "address_2": "SUITE 10",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "845-638-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD",
            "address_2": "SUITE 10",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "845-638-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "SANDRA",
        "middle_name": "MARIE PAGAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Delahunty
• Thomas Steven Demott, DC
• Isabella Denyssenko
• Joanna Derrico, SLP
• Nauka Bipin Desai, MD
• Marina Deskin
• Raissa Di Caterina
• Marc H Diamond, LCSW
• Alexa Didonato, PT
• Michael John Dilello, DC

• Speech-Language Pathologist in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.