Active NPI
Jessica Ann Deluise, PA-C
- Medical Physician Assistant
- Abington, PA
National Provider Identifier
1073819744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054781
- Practice address
- 938 Old York Rd
Abington, PA 19001-4703 - Phone
- (267) 620-0237
- NPI assigned
- Jan 28, 2011
- Last updated
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054781 | PA | Primary |
Addresses
Primary practice location
938 Old York Rd
Abington, PA 19001-4703
Mailing address
5000 Cox Rd Apt 620
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other practice location 1
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 951-9000
Other practice location 2
Einstein Hospital
559 W Germantown Pike
East Norriton, PA 19403
Phone (484) 622-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA054781 | Other | PA | PENNSYLVANIA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Family Chiropractic PC | Past | Accepting new patients | |
| Pennsylvania Urgent Care Centers, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Harmony, PA
- NPI 1346530649
-
- Urgent Care Clinic/Center
- West Chester, PA
- NPI 1629625652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1073819744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD APT 620",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190014703",
"telephone_number": "267-620-0237"
}
],
"practiceLocations": [
{
"address_1": "2301 S Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191483542",
"country_code": "US",
"telephone_number": "215-951-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Einstein Hospital",
"address_2": "559 W Germantown Pike",
"address_purpose": "LOCATION",
"city": "East Norriton",
"state": "PA",
"postal_code": "19403",
"country_code": "US",
"telephone_number": "484-622-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELUISE",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE LICENSE",
"identifier": "MA054781",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.