Active NPI
Tiffany Krugger Patounas, MA
- Speech-Language Pathologist
- Delmar, NY
National Provider Identifier
1659648293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015133-1
- Practice address
- 42 Longmeadow Dr
Delmar, NY 12054-2319 - Phone
- (518) 451-9591
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- 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 | 015133-1 | NY | Primary |
Addresses
Primary practice location
42 Longmeadow Dr
Delmar, NY 12054-2319
Mailing address
42 Longmeadow Dr
Delmar, NY 12054-2319
Phone (518) 451-9591
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015133-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1659648293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 LONGMEADOW DR",
"city": "DELMAR",
"state": "NY",
"postal_code": "120542319",
"telephone_number": "518-451-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 LONGMEADOW DR",
"city": "DELMAR",
"state": "NY",
"postal_code": "120542319",
"telephone_number": "518-451-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATOUNAS",
"first_name": "TIFFANY",
"middle_name": "KRUGGER",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "015133-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.