Active NPI
Nicholas Dellerba
- Contractor
- Grove City, OH
National Provider Identifier
1407568710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 2274 Lockamy CT
Grove City, OH 43123-1565 - Phone
- (614) 202-9202
- NPI assigned
- Dec 19, 2022
- Last updated
- Dec 19, 2022
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
2274 Lockamy CT
Grove City, OH 43123-1565
Mailing address
2274 Lockamy CT
Grove City, OH 43123-1565
Phone (614) 202-9202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2573648 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chuggafan2@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1407568710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 LOCKAMY CT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431231565",
"telephone_number": "614-202-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 LOCKAMY CT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431231565",
"telephone_number": "614-202-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLERBA",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2573648",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "chuggafan2@gmail.com",
"affiliation": "N",
"address_1": "2274 Lockamy Ct",
"city": "Grove City",
"state": "OH",
"country_code": "US",
"postal_code": "431231565",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.