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Stacy Deristin
NPI 1790622850 · Case Manager/Care Coordinator · Brooklyn, NY
Stacy Deristin is a Case Manager/Care Coordinator provider in Brooklyn, NY (NPI 1790622850).
Provider details
- NPI number
- 1790622850
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2377 Pacific St
Brooklyn, NY 11233-6938
Phone: (862) 505-7044
Street-level locationGet directions
Mailing address
1414 E 103rd St
Brooklyn, NY 11236-4514
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Stacy Deristin's NPI number?
- Stacy Deristin's National Provider Identifier (NPI) is 1790622850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Deristin's specialty?
- Stacy Deristin is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Stacy Deristin located?
- Stacy Deristin's practice location on file with NPPES is 2377 Pacific St, Brooklyn, NY 11233-6938.
- What is Stacy Deristin's phone number?
- The practice phone number listed in the NPPES registry for Stacy Deristin is (862) 505-7044.
- Is Stacy Deristin's NPI active?
- Yes — Stacy Deristin's NPI (1790622850) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.