Deanna Rose Cisternas, M.A. CCC SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1134888171 Issued in NY

Practice address

2351 Jerusalem Ave
North Bellmore, NY 11710-1822

Phone

(516) 608-6300

NPI assigned

Jul 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Deanna Rose Hussey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1679096432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WESTWOOD RD S",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621933",
            "telephone_number": "516-457-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101822",
            "telephone_number": "516-608-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISTERNAS",
        "first_name": "DEANNA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC SLP TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1134888171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "HUSSEY",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "M.A. CCC-SLP, TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josephine M Centore, DC
• Chat & Chew Speech Therapy, P. L. L. C.
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• Connie Chiu-Chan, RPH
• Raffin Chowdhury
• Elizabeth Clines, M.S. CCC/SLP
• Roberta G Cohen, MS RN CS
• Patricia Marie Comerford, MS, SLP
• Communication City Speech Therapy PC
• Comprehensive Medicine of Long Island PC.

• Speech-Language Pathologist in North Bellmore, NY
• Providers in North Bellmore, 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 Jul 27, 2023; 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.