Active NPI
Maria Delucia, D.O.
- Pediatrics Physician
- Hamden, CT
National Provider Identifier
1215119086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 047703
- Practice address
- 299 Washington Ave.
Hamden, CT 06518-3026 - Phone
- (203) 288-4288
- Fax
- (855) 414-4010
- NPI assigned
- Dec 3, 2007
- Last updated
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 047703 | CT | Primary |
Addresses
Primary practice location
299 Washington Ave.
Hamden, CT 06518-3026
Mailing address
299 Washington Ave.
Hamden, CT 06518-3026
Phone (203) 288-4288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003918 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maria.delucia.1@7895.direct.athenahealth.com | Direct |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047703 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- maria.delucia.1@7895.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hamden, CT
- NPI 1588603997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1215119086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 WASHINGTON AVE.",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183026",
"telephone_number": "203-288-4288",
"fax_number": "203-288-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 WASHINGTON AVE.",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183026",
"telephone_number": "203-288-4288",
"fax_number": "855-414-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "MARIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "047703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003918",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maria.delucia.1@7895.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "299 Washington Ave.",
"city": "Hamden",
"state": "CT",
"country_code": "US",
"postal_code": "065183026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.