Detty Darly, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402271 Issued in NY

Practice address

38 Winthrop PL
Staten Island, NY 10314

Phone

(718) 727-7077

NPI assigned

Sep 8, 2017

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

Other names 1

• Detty Panicker Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Crasmere Psychiatric Services, PC

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1336450931
  NPD (past)
• Nys Office of Mental Health

  • Psychiatric Hospital
  • Staten Island, NY
  • NPI 1164589602
  NPD (past)
• Richmond Medical Solutions, PC

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1427463124
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1891213997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N GANNON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144317",
            "telephone_number": "347-533-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WINTHROP PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-727-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLY",
        "first_name": "DETTY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DETTY",
            "last_name": "PANICKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evangeline Elea Dardouni, LMT
• Kathleen Daretany, RN
• Darius Melisaratos, MD, Radiology, PLLC (Precision Radiology)
• Carol Darlington
• Appu Darly
• Hamdi Darouich, DPT, MS
• Christine Marie Darrow, FNP
• Stephanie Darsa
• Darwish Wellness Medical Office PC
• Dana Darwish, PHARM D

• Psychiatric/Mental Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.