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Deactivated NPI 1821374992 Deactivated / Inactive NPI Female Practitioner

Victoria Renee Derosso , MS CCC-SLP

Speech-Language Pathologist • East Patchogue, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Victoria Derosso has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2011
NPI Deactivation Date August 31, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Victoria Derosso, MS CCC-SLP was a registered Speech-Language Pathologist practicing in East Patchogue, NY. Throughout an active medical career spanning 11 years, Victoria Derosso provided care at the practice location at 189 NORTH DUNTON AVENUE until profile deactivation on 2022-08-31.

Practice Location & Contact Primary Location

Practice Address

189 North Dunton Avenue

East Patchogue, NY 11772

Telephone 6317301676

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in East Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
9 Specialists

Practicing in East Patchogue, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 009778-1

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 31, 2022

Record deactivated on August 31, 2022

NPI Profile Active November 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2011

Registered at 189 NORTH DUNTON AVENUE, EAST PATCHOGUE, NY 11772 (Tel: 6317301676)

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Updated Business Mailing Address November 02, 2011

Registered at 189 NORTH DUNTON AVENUE, EAST PATCHOGUE, NY 11772 (Tel: 6317301676)

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Provider Name / Credentials Updated November 02, 2011

Recorded as VICTORIA DEROSSO, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2011

Speech-Language Pathologist (License #009778-1 in NY)

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Initial NPI Registration & Enumeration November 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821374992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2011
Last Update: November 02, 2011
Deactivation Date: August 31, 2022

Mailing Address

189 North Dunton Avenue

East Patchogue, NY 11772

Phone: 6317301676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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