Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIDRE IPPOLITO
Deactivated Sole ProprietorDEIDRE IPPOLITO is a Specialist healthcare provider located in RIDGEWOOD, New York. NPI 1326692096 is deactivated in the NPPES registry. Verify at CMS.
Specialist · RIDGEWOOD, NY
This NPI has been deactivated.
The record was deactivated on July 14, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1326692096
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2019 (0.95628415300546 yrs)
- Last Updated
- Nov 25, 2025
- Deactivated
- Jul 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1864 PUTNAM AVE APT 1RRIDGEWOOD, NY, 113854314Browse NY providers · Browse ZIP 11385
- Phone
- 7188855547
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in RIDGEWOOD, NY
| Name | Credential | NPI |
|---|---|---|
| DR. BHAVANI MAHANKALI | MD | 1447208277 |
| DR. EMIDIO R PANTIG | M.D. | 1134174048 |
| GARY COHEN | — | 1063575884 |
| VINCENT JOHN DOROTAN | — | 1730380080 |
| MS. JILLIAN BETH MORGAN | MS SP ED | 1801169685 |
| JOLANTA CZERECH | — | 1891052767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.