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Deactivated NPI 1407844731 Deactivated / Inactive NPI Male Practitioner

Joseph Derose , MED SLP

Speech-Language Pathologist • Williamsville, 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, Joseph Derose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2005
NPI Deactivation Date January 04, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Joseph Derose, MED SLP was a registered Speech-Language Pathologist practicing in Williamsville, NY. Throughout an active medical career spanning 18 years, Joseph Derose provided care at the practice location at 15 S FOREST RD until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

15 S Forest Rd

Williamsville, NY 142216425

Telephone 7166321884
Fax 7165651837
Associated Practice Facility / Clinic
🏢 Podiatry Solutions Of Wny Facility NPI 1205054442

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Williamsville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Williamsville, 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 0017601

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1598753824

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, 2023

Record deactivated on January 04, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 15 S FOREST RD, WILLIAMSVILLE, NY 142216425 (Tel: 7166321884)

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Updated Business Mailing Address July 08, 2007

Registered at 15 S FOREST RD, WILLIAMSVILLE, NY 142216425 (Tel: 7166321884)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOSEPH DEROSE, MED SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #0017601 in NY)

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Initial NPI Registration & Enumeration October 11, 2005

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: 1407844731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2005
Last Update: July 08, 2007
Deactivation Date: January 04, 2023

Mailing Address

15 S Forest Rd

Williamsville, NY 142216425

Phone: 7166321884

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.