Active NPI
Jill Delong, COTA
- Specialist
- Shillington, PA
National Provider Identifier
1275765646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OP006758
- Practice address
- 450 Philadelphia Ave
Shillington, PA 19607-2731 - Phone
- (610) 769-1600
- Fax
- (610) 769-8730
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | OP006758 | PA | Primary |
Addresses
Primary practice location
450 Philadelphia Ave
Shillington, PA 19607-2731
Mailing address
450 Philadelphia Ave
Shillington, PA 19607-2731
Phone (610) 769-1600
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 |
|---|---|---|---|
| OP006758 | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1275765646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PHILADELPHIA AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072731",
"telephone_number": "610-769-1600",
"fax_number": "610-769-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PHILADELPHIA AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072731",
"telephone_number": "610-769-1600",
"fax_number": "610-769-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "OP006758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.