Individual provider Active NPI

Denise Deangelo, MS CCC-SLP

  • Speech-Language Pathologist
  • East Elmhurst, NY
National Provider Identifier
1700925765
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014637 Issued in NY
Practice address
2127 71St St
East Elmhurst, NY 11370-1004
Phone
(718) 545-0614
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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 014637 NY Primary

Addresses

Primary practice location

2127 71St St
East Elmhurst, NY 11370-1004

Mailing address

2127 71St St
East Elmhurst, NY 11370-1004
Phone (718) 545-0614

Other identifiers 1

IdentifierTypeStateIssuer
014637OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115000893 NY Practitioner - Qualified Speech Language Pathologist 4284970195 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014637NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Speech-Language Pathologist CurrentSince Sep 6, 2022 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Aug 7, 2023 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Jun 1, 2018 Accepting new patients
The Traveling Physical Therapist CurrentSince Dec 19, 2020 Accepting new patients
Epic Long Island CurrentSince Aug 7, 2023 Accepting new patients
Epic Medical Services PC CurrentSince Aug 7, 2023 Accepting new patients
Optimum Therapeutics PT & OT PLLC CurrentSince Jan 1, 2025 Accepting new patients
Propel Physical Therapy PC PastSince Jan 1, 2025 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

150 Vets Hwy
Unit 141
Commack, NY 11725
Phone (646) 733-4737

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1700925765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 71ST ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701004",
            "telephone_number": "718-545-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 71ST ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701004",
            "telephone_number": "718-545-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "014637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.