Individual provider Active NPI

Arthur John Deluca, M.D.

  • Pediatric Pulmonology Physician
  • Astoria, NY
National Provider Identifier
1104926096
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
191559 Issued in NY
Practice address
3014 37TH St
Third Floor
Astoria, NY 11103-3809
Phone
(718) 288-1474
Fax
(888) 356-2653
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 191559 NY Primary

Addresses

Primary practice location

3014 37TH St
Third Floor
Astoria, NY 11103-3809

Mailing address

3014 37TH St
Third Floor
Astoria, NY 11103-3809
Phone (718) 288-1474

Other identifiers 1

IdentifierTypeStateIssuer
02008735MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130000771 NY Practitioner - Pediatric Medicine 3274890215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191559NYMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Aug 30, 2017 Accepting new patients

Locations

495 Beach 20th St
Far Rockaway, NY 11691
Phone (347) 619-5950

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: arthur.deluca.1@14448.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1104926096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 37TH ST",
            "address_2": "THIRD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033809",
            "telephone_number": "718-288-1474",
            "fax_number": "888-356-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 37TH ST",
            "address_2": "THIRD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033809",
            "telephone_number": "718-288-1474",
            "fax_number": "888-356-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ARTHUR",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "191559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02008735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.