Active NPI
William Ernst Deroo, SLP
- Speech-Language Pathologist
- Buffalo, NY
National Provider Identifier
1497968432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7309
- Practice address
- 50 E North St
Buffalo, NY 14203-1002 - Phone
- (716) 885-8318
- Fax
- (716) 885-0229
- NPI assigned
- May 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7309 | NY | Primary |
Addresses
Primary practice location
50 E North St
Buffalo, NY 14203-1002
Mailing address
50 E. North Street
Buffalo, NY 14203
Phone (716) 885-8318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7309 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1497968432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E. NORTH STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-885-8318",
"fax_number": "716-885-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8318",
"fax_number": "716-885-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROO",
"first_name": "WILLIAM",
"middle_name": "ERNST",
"name_prefix": "Mr.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "7309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.