1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Speech Language Pathologist
  6. NPI Profile

ANGEL DERUVO, MA CCC SLP PLLC
NPI 1700235504
Speech-Language Pathologist in Staten Island, NY

Active since June 13, 2016
47 CEDAR TER, STATEN ISLAND, STATEN ISLAND, NY 10304(917) 273-1448 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angel Deruvo, Ma Ccc Slp Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL DERUVO, MA CCC SLP PLLC (NPI 1700235504) is a healthcare organization registered as a speech-language pathologist in Staten Island, New York and active in the NPI registry since June 2016. The organization lists Angel Deruvo, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1700235504
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameANGEL DERUVO, MA CCC SLP PLLC
Location Address47 CEDAR TER, STATEN ISLANDStaten Island, NY 10304-1701
Mailing Address47 Cedar Ter, Staten IslandStaten Island, NY 10304-1701 · (917) 273-1448
Phone(917) 273-1448
Organization SubpartNo
Authorized OfficialAngel DeruvoSpeech Language Pathologist · (917) 273-1448
Enumeration DateJune 13, 2016
✔ NPI 1700235504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
47 CEDAR TER, Staten Island, NY 10304
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Deruvo, Ma Ccc Slp Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angel Deruvo, Ma Ccc Slp PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Angel Deruvo, SLP MA CCC
Qualified Speech Language Pathologist
NPI 1851582175
47 CEDAR TERRACE
Staten Island, NY 10304
(817) 273-1448
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Deruvo, Ma Ccc Slp PLLC's NPI number?

The NPI number for Angel Deruvo, Ma Ccc Slp PLLC is 1700235504. It was assigned to this organization in the NPPES registry on June 13, 2016.

Where is Angel Deruvo, Ma Ccc Slp PLLC located?

Angel Deruvo, Ma Ccc Slp PLLC is located at 47 Cedar Ter Staten Island, Staten Island, NY 10304. The listed phone number is (917) 273-1448.

What is Angel Deruvo, Ma Ccc Slp PLLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Angel Deruvo, Ma Ccc Slp PLLC enrolled in Medicare?

Yes. Angel Deruvo, Ma Ccc Slp PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angel Deruvo, Ma Ccc Slp PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Angel Deruvo, Ma Ccc Slp PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angel Deruvo, Ma Ccc Slp PLLC was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.