Active NPI
Joseph Nicholas Deluca, MD, PHD
- General Practice Physician
- Altamonte Springs, FL
National Provider Identifier
1114930633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME50155
- Practice address
- 378 Center Pointe Circle
Suite 1280
Altamonte Springs, FL 32701-3442 - Phone
- (407) 862-5959
- Fax
- (407) 774-5573
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0003384 | FL | |
| General Practice Physician | 208D00000X | ME0050155 | FL | |
| General Practice Physician | 208D00000X | ME50155 | FL | Primary |
Addresses
Primary practice location
378 Center Pointe Circle
Suite 1280
Altamonte Springs, FL 32701-3442
Mailing address
378 Center Pointe Circle
Suite 1280
Altamonte Springs, FL 32701-3442
Phone (407) 862-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046585200 | Medicaid | FL |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003384 | FL | MD | Clinical Psychologist |
| ME0050155 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1114930633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 CENTER POINTE CIRCLE",
"address_2": "SUITE 1280",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013442",
"telephone_number": "407-862-5959",
"fax_number": "407-774-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 CENTER POINTE CIRCLE",
"address_2": "SUITE 1280",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013442",
"telephone_number": "407-862-5959",
"fax_number": "407-774-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "JOSEPH",
"middle_name": "NICHOLAS",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0003384",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME0050155",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME50155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046585200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.