Active NPI
John Dellegrotto, EDD CCC SLP
- Speech-Language Pathologist
- New Cumberland, PA
National Provider Identifier
1215180963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000934L
- Practice address
- 1703 Kathryn St
New Cumberland, PA 17070 - Phone
- (717) 774-6343
- Fax
- (717) 774-7659
- NPI assigned
- Oct 28, 2008
- 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 | SL000934L | PA | Primary |
Addresses
Primary practice location
1703 Kathryn St
New Cumberland, PA 17070
Mailing address
1703 Kathryn St
New Cumberland, PA 17070
Phone (717) 774-6343
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL000934L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1215180963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 KATHRYN ST",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "17070",
"telephone_number": "717-774-6343",
"fax_number": "717-774-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 KATHRYN ST",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "17070",
"telephone_number": "717-774-6343",
"fax_number": "717-774-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLEGROTTO",
"first_name": "JOHN",
"credential": "EDD CCC SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000934L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Cumberland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.