Edward Alan Deglin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD014247-E Issued in PA

Practice address

2701 Holme Ave Ste 303
Philadelphia, PA 19152-2029

Phone

(215) 335-3088

Fax

(215) 335-0315

NPI assigned

Jun 28, 2005

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eadeglin@retinaldocs.direct.eyemdemr.com
• Direct secure messaging: edward.deglin@direct.einstein.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philadelphia Retina Associates PC

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1104873223
  Medicare reassignment NPD
• Ophthalmology Ctr. , LTD.

  dba Haddonfield Eye Association

  • Specialist
  • Philadelphia, PA
  • NPI 1043264195

  Ophthalmology

  NPD (past)
• Refocus Eye Health of PA, P.C.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1962003418
  NPD (past)
• Nevyas Eye Associates of NJ PC

  dba Nevyas Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Marlton, NJ
  • NPI 1174786743
  NPD (past)
• Nevyas Eye Associates of NJ PC

  • Specialist
  • Marlton, NJ
  • NPI 1316901978

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1164428744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-335-3088",
            "fax_number": "215-335-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-335-3088",
            "fax_number": "215-335-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGLIN",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD014247E",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD014247-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "30554",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3972",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0045476000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0072440301",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072440300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "11326",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "30553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "31230",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "149829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathalie Degaiffier
• Danielle Degarr
• Karl Degenhardt, M.D.
• Sarah Degeorge, LSW
• Florin T Deger, MD
• Andrew Joseph Degnan, MD, MPHIL
• Kathleen O'Neil Degnan, M.D.
• Emil M Degoma, MD
• Ruth Degraffenreidt, BA, MSPH, PMAR
• Robert G Degregorio Jr., PT, DPT

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.