Individual provider Active NPI

Gwendolyn Delvalle, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1174949432
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R255408 Issued in MD
Practice address
1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021
Phone
(516) 335-5525
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R255408 MD Primary

Addresses

Primary practice location

1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021

Mailing address

1999 Marcus Ave Ste 220
New Hyde Park, NY 11042-1021
Phone (516) 335-5525

Other names 1

  • Gwen Delvalle Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdelvalle148782@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150909000290 NY Practitioner - Nurse Practitioner 4981910841 Reassigns benefits to 1 organization
Practice locations: Roslyn, NY
I20260109000739 MD Practitioner - Nurse Practitioner 4981910841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone (410) 768-6600

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338233NYMDPsychiatry Physician
R255408MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC CurrentSince Dec 1, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. Past Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
New York Cardiology Group, P.C. Past Accepting new patients

Locations

1417 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 768-6600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

255 Hospital Dr
Fl 3
Glen Burnie, MD 21061
Phone (410) 553-8240

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

1999 Marcus Ave
Ste 220
New Hyde Park, NY 11042
Phone (516) 335-5525

Interoperability endpoints

  • Direct secure messaging: gdelvalle1322505@direct.umm.edu
  • Direct secure messaging: gdelvalle148782@nyumc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1174949432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 220",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-335-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 220",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-335-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "GWENDOLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R255408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdelvalle148782@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1999 Marcus Ave Ste 220",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "DELVALLE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.