Active NPI
Delia Christina Meltontate, MD
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD043306L
- Practice address
- 1415 North Broad Street, Suite 224
Broad Street Health Center
Philadelphia, PA 19122-3323 - Phone
- (215) 235-7944
- Fax
- (215) 235-3361
- NPI assigned
- Jan 23, 2006
- Last updated
- Jan 20, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD043306L | PA | Primary |
Addresses
Primary practice location
1415 North Broad Street, Suite 224
Broad Street Health Center
Philadelphia, PA 19122-3323
Mailing address
5619-25 Vine Street
Spectrum Health Services, Inc.
Philadelphia, PA 19139-1302
Phone (215) 471-2761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043306L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc. | Family Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Current | Accepting new patients | |
| Washington Physician Services | Family Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Erie Healthcare Services Inc | Family Medicine | Past | Accepting new patients |
| Spectrum Health Services Inc | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1942444088
-
dba Washington Health System Physicians Group
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
-
- Family Medicine Physician
- Erie, PA
- NPI 1578530317
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881629012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1114907334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5619-25 VINE STREET",
"address_2": "SPECTRUM HEALTH SERVICES, INC.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191391302",
"telephone_number": "215-471-2761",
"fax_number": "215-471-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 NORTH BROAD STREET, SUITE 224",
"address_2": "BROAD STREET HEALTH CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223323",
"telephone_number": "215-235-7944",
"fax_number": "215-235-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTONTATE",
"first_name": "DELIA",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD043306L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.