Active NPI
Gregory Charles Delduca Jr., M.A., CCC-SLP
- Speech-Language Pathologist
- Natrona Heights, PA
National Provider Identifier
1194719005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005935L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019924660001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL005935L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Natrona Heights, PA
- NPI 1205096013
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.