Individual provider Active NPI

Deanna Kawitzky, M.S. CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1730653817
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027163 Issued in NY
Practice address
130 E 77TH St FL 10
New York, NY 10075-1851
Phone
(212) 434-3068
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 027163 NY Primary

Addresses

Primary practice location

130 E 77TH St FL 10
New York, NY 10075-1851

Mailing address

231 16TH St Apt 3a
Brooklyn, NY 11215-6080
Phone (917) 855-1072

Other practice location 1

186 E 76th St Fl 2
New York, NY 10021-2822
Phone (212) 434-3068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000714 NY Practitioner - Qualified Speech Language Pathologist 6709219355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Hospital Medical PCGroup PAC ID 7012188568, 32 clinicians

Practice addresses (Care Compare)

130 E 77TH St
New York, NY 10075-1851
Phone (212) 434-4500

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027163NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Hospital Medical, PC Single Specialty CurrentSince Jan 11, 2019 Accepting new patients
North Shore-Lij Medical PC Single Specialty Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

130 E 77th St
Fl 10
New York, NY 10075
Phone (212) 434-4556

186 E 76th St
Fl 2
New York, NY 10021
Phone (212) 327-3000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dkawitzky73038@northwell.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1730653817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 16TH ST APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156080",
            "telephone_number": "917-855-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 E 76th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212822",
            "country_code": "US",
            "telephone_number": "212-434-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWITZKY",
        "first_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.