Individual provider Active NPI

Raymond Walter Delucci Sr., D.C.

  • Chiropractor
  • Niagara Falls, NY
National Provider Identifier
1366695868
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011808 Issued in NY
Practice address
2119 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone
(716) 343-6630
NPI assigned
Oct 28, 2008
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
011808NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.