Individual provider Active NPI

Jeffrey Delossantos

  • Emergency Care Certified Respiratory Therapist
  • Scranton, PA
National Provider Identifier
1174239503
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Certified Respiratory TherapistTaxonomy code 2278E0002X
Practice address
1234 Hampton St
Scranton, PA 18504-2243
Phone
(570) 903-8813
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Certified Respiratory Therapist 2278E0002X PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1234 Hampton St
Scranton, PA 18504-2243

Mailing address

1234 Hampton St
Scranton, PA 18504-2243
Phone (570) 903-8813

Other practice location 1

1234 Hampton St
Scranton, PA 18504-2243
Phone (570) 903-8813

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2023.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1174239503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HAMPTON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042243",
            "telephone_number": "570-903-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HAMPTON ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042243",
            "telephone_number": "570-903-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Hampton St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185042243",
            "country_code": "US",
            "telephone_number": "570-903-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.