Individual provider Active NPI

Stephen P. Decrescenzo, PHARM.D.

  • Pharmacist
  • Melville, NY
National Provider Identifier
1952396152
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045596 Issued in NY
Practice address
60 Baylis Rd
Melville, NY 11747-3838
Phone
(631) 719-2129
Fax
(631) 756-5114
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045596 NY Primary

Addresses

Primary practice location

60 Baylis Rd
Melville, NY 11747-3838

Mailing address

439 Beach 127TH St
Belle Harbor, NY 11694-1730
Phone (718) 474-0843

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
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1952396152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 BEACH 127TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941730",
            "telephone_number": "718-474-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BAYLIS RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473838",
            "telephone_number": "631-719-2129",
            "fax_number": "631-756-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRESCENZO",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.