Active NPI
Philip V Deluca, MD
- Family Medicine Physician
- Locust Valley, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 205461
- Practice address
- 480 Forest Ave Ste 100
Locust Valley, NY 11560-2151 - Phone
- (516) 671-9800
- Fax
- (516) 671-9283
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 205461 | NY | Primary |
Addresses
Primary practice location
480 Forest Ave Ste 100
Locust Valley, NY 11560-2151
Mailing address
972 Brush Hollow Rd
4TH Floor
Westbury, NY 11590-1740
Phone (516) 876-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02134623 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
Hospital & facility affiliations
- North Shore Home Care Chha
- Catholic Home Care
- Emerest Home Health Care of Long Island
- Northwell Hospital Glen Cove
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Senior Healthcare Associates, LLC | Family Medicine | Past | Accepting new patients |
| North Shore Long Island Jewish Healthcare | Family Medicine | Past | Accepting new patients |
Locations
1 School St
Ste 203
Glen Cove, NY 11542
Phone (516) 671-9800
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- philipdeluca@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Family Medicine
-
- Geriatric Medicine (Family Medicine) Physician
- Glen Cove, NY
- NPI 1467686949
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1508964008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"address_2": "4TH FLOOR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 FOREST AVE STE 100",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115602151",
"telephone_number": "516-671-9800",
"fax_number": "516-671-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "PHILIP",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "205461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02134623",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Locust Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.