Individual provider Active NPI

Patricia A. Delamora, MD

  • Pediatric Infectious Diseases Physician
  • New York, NY
National Provider Identifier
1114015484
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
219377 Issued in NY
Practice address
525 East 68TH Street, Baker 23
New York, NY 10021
Phone
(212) 746-0904
Fax
(212) 746-8716
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 219377 NY
Pediatric Infectious Diseases Physician 2080P0208X 219377 NY Primary

Addresses

Primary practice location

525 East 68TH Street, Baker 23
New York, NY 10021

Mailing address

525 East 68TH Street, Baker 23
New York, NY 10021
Phone (212) 746-0373

Other identifiers 1

IdentifierTypeStateIssuer
02677750MedicaidNY

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
I20051212000526 NY Practitioner - Pediatric Medicine 8820019474 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219377NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Pediatrics CurrentSince Jan 1, 2006 Accepting new patients
Weill Medical College of Cornell Pediatrics Current Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jan 3, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 1, 2006 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 3, 2022 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

505 E 70th St
#3
New York, NY 10021

525 E 68th St
#23
New York, NY 10065
Phone (212) 746-1178

505 E 70th St
New York, NY 10021
Phone (212) 746-2900

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patricia.delamora.p1@direct.cwpw.nextgenshare.com

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1114015484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET, BAKER 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-0373",
            "fax_number": "212-746-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET, BAKER 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-0904",
            "fax_number": "212-746-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMORA",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "219377",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "219377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.