Salvador Delariarte Deocampo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029243 Issued in NY

Practice address

7939 Calamus Ave Apt 1B
Elmhurst, NY 11373-4165

Phone

(347) 268-1299

NPI assigned

Feb 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: salvador.deocampo.1@18107.direct.athenahealth.com

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.

• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Union Community Health Center, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1437255155
  Medicare reassignment NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1245937168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 CALAMUS AVE APT 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734165",
            "telephone_number": "347-268-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 CALAMUS AVE APT 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734165",
            "telephone_number": "347-268-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOCAMPO",
        "first_name": "SALVADOR",
        "middle_name": "DELARIARTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENCE",
            "identifier": "029243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Delvalle, MD
• Marian B Demeny, MD
• Dowela Manacap Demetillo
• Selim Demirdelen, MD
• Dental America PC
• Candace Deraffele
• Maureen Dijamco Desepeda, PT
• Ruthgina Desinor
• Dev R. Master, MD, PLLC
• Dhaka Pharmacy Inc

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.