VINCENT DECIANTIS NP-C NPI 1861867889

NPI Information

  • NPI: 1861867889
  • Provider Name: VINCENT DECIANTIS, NP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11260 E JEFFERSON AVE
    DETROIT, MI
    ZIP 48214
  • Phone: (313) 749-0148

Map and Directions

Get Directions

NPI Details

Vincent Deciantis, NP-C is a gerontology nurse practitioner in Detroit, MI. Vincent Deciantis, NP-C NPI is 1861867889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11260 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-320
Phone: (313) 749-0148

The NPI 1861867889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care4704274231MICHIGANNo
2282N00000XGeneral Acute Care Hospital4704274231MICHIGANNo
3363LG0600XNurse PractitionerGerontology4704274231MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI