Active NPI
Raymond Walter Delucci Sr., D.C.
- Chiropractor
- Niagara Falls, NY
National Provider Identifier
1366695868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011808
- Practice address
- 2119 Sawyer Dr
Niagara Falls, NY 14304-2975 - Phone
- (716) 343-6630
- NPI assigned
- Oct 28, 2008
- Last updated
- Dec 5, 2019
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011808 | NY | Primary |
Addresses
Primary practice location
2119 Sawyer Dr
Niagara Falls, NY 14304-2975
Mailing address
2119 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 343-6630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100326000201 | NY | Practitioner - Chiropractic | 0345376612 | Practice locations: Arcade, NY; Niagara Falls, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2119 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 343-6630
283 Main St
Arcade, NY 14009-1212
Phone (716) 343-6630
9770 County Rd
Suite 3
Freedom, NY 14065-9524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011808 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chad E Szymanski DO PLLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- North Tonawanda, NY
- NPI 1407595861
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": "1575504000000",
"number": "1366695868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 SAWYER DR",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143042975",
"telephone_number": "716-343-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 SAWYER DR",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143042975",
"telephone_number": "716-343-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCCI",
"first_name": "RAYMOND",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.