Brian J Derienzo, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL002876L Issued in PA

Practice address

1020 S Main St
Quakertown, PA 18951-1561

Phone

(215) 536-9300

Fax

(215) 539-8894

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710002506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RIDGEVIEW DR",
            "city": "ALBURTIS",
            "state": "PA",
            "postal_code": "180119306",
            "telephone_number": "610-966-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S MAIN ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511561",
            "telephone_number": "215-536-9300",
            "fax_number": "215-539-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIENZO",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002876L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Helena Davis, NP
• Christine Deangelo, PHARM. D.
• William Deitzel
• Cara Delmaestro
• Luanne Deluca, O.D.
• Gwendolyn Margaret Derricotte, DO
• Kaushal Chandresh Desai, D.M.D.
• Nidhi Desai, PA-C
• Gina Marie Devlin, O.D.
• Alexa Diaz, PT, DPT

• Speech-Language Pathologist in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.