STACY DERISTIN
NPI 1790622850
Case Manager/Care Coordinator in Brooklyn, NY

Q: What is Stacy Deristin's NPI number?

The NPI number for Stacy Deristin is 1790622850. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Q: What is Stacy Deristin's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Deristin was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 29, 2026

2377 PACIFIC ST, BROOKLYN, NY 11233(862) 505-7044 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacy Deristin NPPES

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

STACY DERISTIN (NPI 1790622850) is an individual case manager/care coordinator provider in Brooklyn, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1790622850

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSTACY DERISTIN

Location Address2377 PACIFIC STBrooklyn, NY 11233-6938

Mailing Address1414 E 103rd StBrooklyn, NY 11236-4514 · (862) 505-7044

Phone(862) 505-7044

Sole ProprietorNo

Enumeration DateApril 29, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1790622850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2377 PACIFIC ST, Brooklyn, NY 11233

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASHA MARTINEZ-CASTILLO

Health Educator

2377 PACIFIC ST
BROOKLYN, NY 11233

Kings County (718) 722-6001

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 Stacy Deristin's NPI number?

The NPI number for Stacy Deristin is 1790622850. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Stacy Deristin located?

Stacy Deristin practices at 2377 Pacific St, Brooklyn, NY 11233. The listed phone number is (862) 505-7044.

What is Stacy Deristin's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacy Deristin was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.