Individual provider Active NPI

Jennifer K. Fallon-Delucia, M.D.

  • Pediatrics Physician
  • Perrysburg, OH
National Provider Identifier
1356677603
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35070621 Issued in OH
Practice address
28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662
Phone
(419) 931-3030
Fax
(419) 931-3046
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35070621 OH Primary

Addresses

Primary practice location

28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662

Mailing address

28555 Starbright Blvd Ste B
Perrysburg, OH 43551-5662
Phone (419) 931-3089

Other practice location 1

3125 Transverse Dr Ste C
Toledo, OH 43614-8008
Phone (419) 383-3771

Other practice location 2

1089 Pray Blvd
Waterville, OH 43566-8712
Phone (419) 383-8500

Other practice location 3

1325 Conference Dr Ste 2010
Toledo, OH 43614-8009
Phone (419) 383-6644

Other identifiers 1

IdentifierTypeStateIssuer
0086604MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423000357 OH Practitioner - Pediatric Medicine 2860624046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35070621OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc Current Accepting new patients
Neighborhood Health Association of Toledo, Inc Current Accepting new patients

Locations

1415 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-5700

313 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-1770

430 Nebraska Ave
Toledo, OH 43604
Phone (419) 671-5400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1356677603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 STARBRIGHT BLVD STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515662",
            "telephone_number": "419-931-3089",
            "fax_number": "419-931-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28555 STARBRIGHT BLVD STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515662",
            "telephone_number": "419-931-3030",
            "fax_number": "419-931-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Transverse Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436148008",
            "country_code": "US",
            "telephone_number": "419-383-3771",
            "fax_number": "419-383-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1089 Pray Blvd",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435668712",
            "country_code": "US",
            "telephone_number": "419-383-8500",
            "fax_number": "419-383-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Conference Dr Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436148009",
            "country_code": "US",
            "telephone_number": "419-383-6644",
            "fax_number": "419-383-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON-DELUCIA",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.