Individual provider Active NPI

Nicole Helene Delarato, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1114979853
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD064078L Issued in PA
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-8120
Fax
(215) 427-8919
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA07143400 NJ
Ophthalmology Physician 207W00000X MD064078L PA Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

100 Kings Way E Ste C
Sewell, NJ 08080-2238
Phone (856) 582-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041026000590 PA Practitioner - OphthalmologyPractitioner - Pediatric Medicine 4486615093 Reassigns benefits to 1 organization
I20071006000000 NJ Practitioner - Ophthalmology 4486615093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STC Pediatrics LLCGroup PAC ID 7315372323, 73 clinicians

Practice addresses (Care Compare)

100 Kings Way E
Suite C St Christopher'S Pediatric Assoc O
Sewell, NJ 08080-2238
Phone (856) 582-0644

160 E Erie Ave
Philadelphia, PA 19134-1011

300 E Hunting Park Ave
St Christophers Ped Assoc Child Protection
Philadelphia, PA 19124-6018
Phone (215) 427-8363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07143400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC CurrentSince Mar 17, 2023 Accepting new patients
STC Pediatrics LLC CurrentSince Jan 15, 2020 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
Cooper Pediatric Specialists, PC CurrentSince Jun 1, 2014 Accepting new patients
Eyecare Physicians & Surgeons of NJ Ophthalmology CurrentSince Oct 10, 2000 Accepting new patients
Cooper Pediatrics PastSince Sep 1, 2010 Accepting new patients
STC Pediatrics LLC Past Accepting new patients

Locations

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

73 S Main St
#F
Medford, NJ 08055

73 S Main St
Medford, NJ 08055
Phone (609) 654-6140

100 Kings Way E
Ste C
Sewell, NJ 08080
Phone (856) 582-0644

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

Interoperability endpoints

  • Direct secure messaging: ndelarato5402@direct.cooperhealth.edu
  • Direct secure messaging: ndelarato@arcnj.intellechartdirect.net
  • Direct secure messaging: dr.delarato@epsnj.direct.eyemdemr.com

Organizations & group practices 8

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1114979853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-8120",
            "fax_number": "215-427-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kings Way E Ste C",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802238",
            "country_code": "US",
            "telephone_number": "856-582-0644",
            "fax_number": "856-582-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELARATO",
        "first_name": "NICOLE",
        "middle_name": "HELENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07143400",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD064078L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.