Kieran Gerard Deneen

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

305 W Roe Blvd
Patchogue, NY 11772-2333

Phone

(631) 447-9211

Fax

(631) 447-9214

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patchogue Physical Therapy PC

  • Physical Therapist
  • Patchogue, NY
  • NPI 1386659779
  NPD (past) Authorized official
• Bay Shore Physical Therapy

  • Physical Therapist
  • Bay Shore, NY
  • NPI 1740353481
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1619060613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722333",
            "telephone_number": "631-447-9211",
            "fax_number": "631-447-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722333",
            "telephone_number": "631-447-9211",
            "fax_number": "631-447-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEEN",
        "first_name": "KIERAN",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "Q16461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L. Terry LCSW, P.C.
• Holly Marie Delbianco, LCSW
• Erika Delco
• Jessica Lynn Delton
• John Patrick Demartino
• Charles R Dennis, MD
• Julie Ann Desantis-Mayer, PTA
• Brett Andrew Desing, D.C.
• Kathia Desronvil, N.P.
• Jacob Tyler Deubler, PA-C

• Physical Therapist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.