Individual provider Active NPI

Gregory Charles Delduca Jr., M.A., CCC-SLP

  • Speech-Language Pathologist
  • Natrona Heights, PA
National Provider Identifier
1194719005
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL005935L Issued in PA
Practice address
1525 Freeport Rd
Natrona Heights, PA 15065-1339
Phone
(412) 559-1392
Fax
(724) 871-1388
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL005935L PA Primary

Addresses

Primary practice location

1525 Freeport Rd
Natrona Heights, PA 15065-1339

Mailing address

1114 Montana Ave
Natrona Heights, PA 15065-1334
Phone (412) 427-3313

Other identifiers 1

IdentifierTypeStateIssuer
1019924660001MedicaidPA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL005935LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First of Greater Pittsburgh, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1194719005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MONTANA AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651334",
            "telephone_number": "412-427-3313",
            "fax_number": "724-871-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FREEPORT RD",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651339",
            "telephone_number": "412-559-1392",
            "fax_number": "724-871-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELDUCA",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005935L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019924660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.