Individual provider Active NPI

Ryan Scott Delong, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1629134036
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD431220 Issued in PA
Practice address
685 Good Dr
Lancaster, PA 17601-2426
Phone
(717) 295-3900
Fax
(717) 391-9582
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD431220 PA Primary

Addresses

Primary practice location

685 Good Dr
Lancaster, PA 17601-2426

Mailing address

555 N Duke St
PO Box 3555
Lancaster, PA 17602-2250
Phone (717) 544-4950

Other identifiers 1

IdentifierTypeStateIssuer
1019191610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000440 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 2769582717 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Medicine Consultants Family Medicine CurrentSince Feb 9, 2021 Accepting new patients
Lancaster General Hospital CurrentSince Jun 1, 2007 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Jun 1, 2007 Accepting new patients
Choices Healthcare Family Medicine Past Accepting new patients
Calvary Fellowship Homes, Inc. Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

685 Good Dr
Lancaster, PA 17601
Phone (717) 295-3900

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1629134036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "address_2": "PO BOX 3555",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-4950",
            "fax_number": "717-544-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "717-295-3900",
            "fax_number": "717-391-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD431220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019191610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.