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Deactivated NPI 1154629194 Deactivated / Inactive NPI Female Practitioner

Mary Elizabeth Deruvo , MA CCC-SLP, TSHH

Speech-Language Pathologist • Islip, 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, Mary Deruvo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2011
NPI Deactivation Date January 04, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Mary Deruvo, MA CCC-SLP, TSHH was a registered Speech-Language Pathologist practicing in Islip, NY. Throughout an active medical career spanning 7 years, Mary Deruvo provided care at the practice location at 260 CEDAR AVE until profile deactivation on 2018-01-04.

Practice Location & Contact Primary Location

Practice Address

260 Cedar Ave

Islip, NY 117514613

Telephone 6312243743

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Islip, 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 014986-1

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 January 04, 2018

Record deactivated on January 04, 2018

NPI Profile Active February 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 28, 2011

Registered at 260 CEDAR AVE, ISLIP, NY 117514613 (Tel: 6312243743)

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Updated Business Mailing Address February 28, 2011

Registered at 260 CEDAR AVE, ISLIP, NY 117514613 (Tel: 6312243743)

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Provider Name / Credentials Updated February 28, 2011

Recorded as MARY DERUVO, M.A. CCC-SLP, TSHH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2011

Speech-Language Pathologist (License #014986-1 in NY)

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Initial NPI Registration & Enumeration February 28, 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: 1154629194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2011
Last Update: February 28, 2011
Deactivation Date: January 04, 2018

Mailing Address

260 Cedar Ave

Islip, NY 117514613

Phone: 6312243743

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.