Deborah Jean Piazza, MSCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008767 Issued in NY

Practice address

535 Craig Ave
Staten Island, NY 10307-1236

Phone

(917) 579-0089

Fax

(347) 562-4306

NPI assigned

Dec 29, 2008

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

Other names 1

• Deborah Jean Dertinger Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1669618476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CRAIG AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071236",
            "telephone_number": "917-579-0089",
            "fax_number": "347-562-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CRAIG AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071236",
            "telephone_number": "917-579-0089",
            "fax_number": "347-562-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DERTINGER",
            "middle_name": "JEAN",
            "credential": "MSCCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Physical Therapy Unlimited
• Physicians of University Hospital PC
• Physicians of University Hospital PC
• Physicians of University Hospital, PC
• Krystian Piatek
• Diane Piazza, LPN
• Doreen Anne Piazza
• Jessica Piazza, DO
• John P Piazza, D.C.
• Maria Minette Barquin Picardal, PT

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Dec 29, 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.