Tiffani Desrosiers, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022189-1 Issued in NY

Practice address

1165 Morris Park Ave
Bronx, NY 10461-1915

Phone

(718) 430-8600

NPI assigned

Sep 20, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1831440643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E 52ND ST APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611915",
            "telephone_number": "718-430-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "TIFFANI",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022189-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl M Desmoulins, RN
• Luis Carlos Despradel Perez, MD
• Cynthia Desravines, PA
• Debbie Desravines, DMD
• Louis-Marie G Desroches, RPH
• Jessica Dessick
• Randolph Augusteen Jr Destin, LMHC
• Stacey Destin, OTR/L
• Destination Tomorrow, Inc
• Frank Guillermo Desueza, FNP-C

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, 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 Sep 20, 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.