Berthain Samuel Delille, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015579-1 Issued in NY

Practice address

150 55TH St
Brooklyn, NY 11220-2508

Phone

(718) 630-8718

NPI assigned

Jul 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Urgent Care of Astoria PLLCGroup PAC ID 4981874641, 11 clinicians

Midtown New York Doctors Urgent Care PLLCGroup PAC ID 4981851037, 7 clinicians

Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians

Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians

Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians

Excel Urgent Care of NHP PLLCGroup PAC ID 1658517883, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: berthain.delille@ghuc.eclinicaldirectplus.com

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.

• Excel Urgent Care of Astoria PLLC

  • Urgent Care Clinic/Center
  • Howard Beach, NY
  • NPI 1235434036
  Medicare reassignment Care Compare group
• Excel Urgent Care of East Northport, PLLC

  • Urgent Care Clinic/Center
  • East Northport, NY
  • NPI 1881978021
  Medicare reassignment Care Compare group
• Excel Urgent Care of Nesconset, PLLC

  • Urgent Care Clinic/Center
  • Nesconset, NY
  • NPI 1851679252
  Medicare reassignment Care Compare group
• Excel Urgent Care of NHP PLLC

  • Urgent Care Clinic/Center
  • New Hyde Park, NY
  • NPI 1952652281
  Medicare reassignment Care Compare group
• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  Medicare reassignment Care Compare group
• Midtown New York Doctors Urgent Care PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1013278274
  Medicare reassignment Care Compare group
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment
• Nes Medical Services of New York PC

  • Emergency Medicine Physician
  • Bath, NY
  • NPI 1215455191
  Medicare reassignment
• New York Doctors Urgent Care PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1104146158
  Medicare reassignment
• Park Hill Emergency Physician Services

  • Emergency Medicine Physician
  • Yonkers, NY
  • NPI 1396123360
  Medicare reassignment
• Southern Westchester Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1235413477
  Medicare reassignment
• Throgs Neck Urgent Medical Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1154684207
  Medicare reassignment

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1124382304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "718-630-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELILLE",
        "first_name": "BERTHAIN",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Delia, MS, OTR/L
• Tara Lynn Deliberto, PH.D.
• Delicato Chiropractic P.C
• Sandra Delice-Maurent, LCSW
• Tracey Delienne, PHD
• Myrlande Delille, PA
• Stephanie Myrlande Delille
• Kathrina Demecillo Delima, DMD
• Wendy Delimeta
• Cathiana Delisca

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.