Marie Elcy Deloache

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1292901 Issued in NY

Practice address

1165 E 54TH St Apt 6O
Brooklyn, NY 11234-2430

Phone

(718) 690-6509

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1013471564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 E 54TH ST APT 6O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342430",
            "telephone_number": "718-690-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E 54TH ST APT 6O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342430",
            "telephone_number": "718-690-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACHE",
        "first_name": "MARIE",
        "middle_name": "ELCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1292901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSPO",
            "identifier": "0675460013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPSO",
            "identifier": "0675460013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zenaida Deocariza Delmo, REGISTERED NURSE
• Lauren Delmonaco, PA
• Tara Alexandra Delmoor, FNP
• Ashanti Delmore
• Jonathan Delmundo, P.T.
• Brittany Deloatch
• Lara Carol Delong, MD
• Emily Delora-Ellefson
• Christin Delorenzo, MSED, BCBA
• Edward C. Delorenzo, MSED

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.