Active NPI
Laurel Anne Delorme, P.A.
- Physician Assistant
- Cicero, NY
National Provider Identifier
1619980976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009587
- Practice address
- 8003 Brewerton Rd
Cicero, NY 13039-9528 - Phone
- (315) 288-4006
- Fax
- (315) 288-4760
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Oneida, NY
- NPI 1194984138
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009587 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph J Pierz MD PC | Past | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009587 | NY | Primary |
Addresses
Primary practice location
8003 Brewerton Rd
Cicero, NY 13039-9528
Mailing address
PO Box 248
Ellicottville, NY 14731-0248
Phone (716) 699-9032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03448762 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1619980976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "ELLICOTTVILLE",
"state": "NY",
"postal_code": "147310248",
"telephone_number": "716-699-9032",
"fax_number": "716-699-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8003 BREWERTON RD",
"city": "CICERO",
"state": "NY",
"postal_code": "130399528",
"telephone_number": "315-288-4006",
"fax_number": "315-288-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELORME",
"first_name": "LAUREL",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03448762",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.