NPIMap

Organization Active NPI

Angel Deruvo PLLC

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1487013116
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8751388 Issued in NY
Legal business name
ANGEL DERUVO PLLC
Practice address
47 Cedar Ter
Staten Island, NY 10304-1701
Phone
(917) 273-1448
Fax
(718) 442-7641
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Angel Deruvo, SLPNPI 1851582175
Title
Owner
Phone
(917) 273-1448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 8751388 NY Primary

Addresses

Primary practice location

47 Cedar Ter
Staten Island, NY 10304-1701

Mailing address

47 Cedar Ter
Staten Island, NY 10304-1701
Phone (917) 273-1448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1487013116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CEDAR TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041701",
            "telephone_number": "917-273-1448",
            "fax_number": "718-442-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CEDAR TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041701",
            "telephone_number": "917-273-1448",
            "fax_number": "718-442-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL DERUVO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "DERUVO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-273-1448",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "8751388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.