Joseph a. Delucca, DPM, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

DPMPD025R Issued in LA

Legal business name

JOSEPH A. DELUCCA, DPM, LLC

Practice address

3101 Ridgelake Dr
Metairie, LA 70002-4926

Phone

(504) 831-2671

Fax

(504) 831-2646

NPI assigned

Oct 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Delucca, DPMNPI 1558425033

Title

Owner

Phone

(504) 831-2671

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

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.

• Joseph Anthony Delucca, DPM

  • Podiatrist
  • Metairie, LA
  • NPI 1558425033
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1154607117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024926",
            "telephone_number": "504-831-2671",
            "fax_number": "504-831-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024926",
            "telephone_number": "504-831-2671",
            "fax_number": "504-831-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. DELUCCA, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "DELUCCA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-831-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "LA",
            "license": "DPMPD025R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324001",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558425033",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826480248",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - LOUISIANA",
            "identifier": "03979",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Jordan
• Jarnell Jordan
• Jenna Colleen Jordan, M.D.
• Kederah Jordan
• Jorge Contreras MD LLC
• Alexis Joseph Butler
• Joseph J Biundo Jr MD Apmc
• Joseph Sampognaro III
• Danielle E Joseph
• Dave Joseph

• Primary Podiatric Medicine Podiatrist in Metairie, LA
• Providers in Metairie, LA by specialty
• Primary Podiatric Medicine Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.