Individual provider Active NPI

Lorraine M Deeb, MS ED

  • Rehabilitation Practitioner
  • Staten Island, NY
National Provider Identifier
1932447273
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
101 Tyrellan Ave
Suite 120
Staten Island, NY 10309-2624
Phone
(718) 281-3640
Fax
(347) 215-2088
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

101 Tyrellan Ave
Suite 120
Staten Island, NY 10309-2624

Mailing address

8823 Colonial Rd
Brooklyn, NY 11209-5501
Phone (718) 491-4996

Other names 1

  • Mrs. Lorraine Castley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1932447273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 COLONIAL RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095501",
            "telephone_number": "718-491-4996",
            "fax_number": "718-491-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TYRELLAN AVE",
            "address_2": "SUITE 120",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092624",
            "telephone_number": "718-281-3640",
            "fax_number": "347-215-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEB",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "CASTLEY",
            "prefix": "MRS.",
            "credential": "MS  ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.