Individual provider Active NPI

Deanna L Lofrese, MS, CCC-SLP

  • Speech-Language Pathologist
  • Goshen, NY
National Provider Identifier
1699082669
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020597-1 Issued in NY
Practice address
53 Gibson Rd
Goshen, NY 10924-6709
Phone
(914) 462-2921
NPI assigned
Sep 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 020597-1 NY Primary

Addresses

Primary practice location

53 Gibson Rd
Goshen, NY 10924-6709

Mailing address

53 Gibson Road
Goshen, NY 10924-6709
Phone (914) 462-2921

Other names 1

  • Ms. Deanna L Syskowski Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020597-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1699082669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 GIBSON ROAD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246709",
            "telephone_number": "914-462-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GIBSON RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246709",
            "telephone_number": "914-462-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFRESE",
        "first_name": "DEANNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020597-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "SYSKOWSKI",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.