Active NPI
Debra J Deluca, M.D.
- Neurology Physician
- Lawrenceville, NJ
National Provider Identifier
1669423463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA046064
- Practice address
- 2 Princess Rd
Suite 2F
Lawrenceville, NJ 08648-2302 - Phone
- (609) 895-9000
- Fax
- (609) 895-1006
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA046064 | NJ | Primary |
Addresses
Primary practice location
2 Princess Rd
Suite 2F
Lawrenceville, NJ 08648-2302
Mailing address
2 Princess Rd
Suite 2F
Lawrenceville, NJ 08648-2302
Phone (609) 895-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168103 | Medicaid | NJ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA046064 | NJ | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1669423463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PRINCESS RD",
"address_2": "SUITE 2F",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482302",
"telephone_number": "609-895-9000",
"fax_number": "609-895-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PRINCESS RD",
"address_2": "SUITE 2F",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482302",
"telephone_number": "609-895-9000",
"fax_number": "609-895-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA046064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2168103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, NJ
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- Phyllis Delucia, BCBA
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- Paul Derman, DMD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.