Jorge Ricardo Delgado, DC, PC.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

04828 Issued in NY

Legal business name

JORGE RICARDO DELGADO, DC, PC.

Practice address

111 Sullivan Ave
Ferndale, NY 12734-4315

Phone

(845) 292-3455

Fax

(845) 295-0186

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Ricardo Delgado, DCNPI 1689663809

Title

President

Phone

(845) 292-3455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge R Delgado, D.C.

  • Neurology Chiropractor
  • Ferndale, NY
  • NPI 1689663809
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1124329495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SULLIVAN AVE",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127344315",
            "telephone_number": "845-292-3455",
            "fax_number": "845-295-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SULLIVAN AVE",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127344315",
            "telephone_number": "845-292-3455",
            "fax_number": "845-295-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE RICARDO DELGADO, DC, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "04828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Chiropractor in Ferndale, NY
• Providers in Ferndale, NY by specialty
• Neurology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.