Mary Kay A. D'Elia, RDN, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001083 Issued in PA

Practice address

425 Alder St Unit 2
Scranton, PA 18505

Phone

(570) 880-7130

NPI assigned

Aug 13, 2013

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• United Neighborhood Centers of Northeastern Pennsylvania

  dba United Neighborhood Centers of Nepa

  • Case Management Agency
  • Scranton, PA
  • NPI 1336526862
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1467885483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PEACHWOOD DRIVE",
            "city": "LAFLIN",
            "state": "PA",
            "postal_code": "187027262",
            "telephone_number": "570-237-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALDER ST UNIT 2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-880-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Peachwood Drive",
            "address_purpose": "LOCATION",
            "city": "Laflin",
            "state": "PA",
            "postal_code": "18702",
            "country_code": "US",
            "telephone_number": "570-237-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ELIA",
        "first_name": "MARY KAY",
        "middle_name": "A.",
        "credential": "RDN, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462370005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462370004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420040",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462370001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420041",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Cvorovic, M.D.
• Stephanie Cybulski, PHARMD
• Chelsea Czarnik
• Anthony M D'Abarno, DO
• Robert M D'Alessandri, M. D.
• Karla Grace Dalious, PA
• Sanketkumar Dalwadi, M.D.
• Nicholas Francis Dandrea, PHARMD
• Navneet Singh Dang, MD
• Daniel & Max, LLC

• Registered Dietitian in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.