NPIMap

Individual provider Active NPI

Sergai Nicholai Delamora, MD

  • Orthopaedic Surgery Physician
  • Scarsdale, NY
National Provider Identifier
1699753814
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
217380 Issued in NY
Practice address
20Overhill Road
#310
Scarsdale, NY 10583-5316
Phone
(212) 737-3301
Fax
(212) 734-0407
NPI assigned
Jan 6, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2173801 NY
Orthopaedic Surgery Physician 207X00000X 217380 NY Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 217380 NY

Addresses

Primary practice location

20Overhill Road
#310
Scarsdale, NY 10583-5316

Mailing address

130 E 77TH St
FL5
New York, NY 10075-1851
Phone (212) 737-3301

Other identifiers 2

IdentifierTypeStateIssuer
2173801OtherNYLICENSE
WEG241OtherNYMEIDCARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001443 NY Practitioner - Orthopedic Surgery 4486552460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

2 Overhill Rd
Suite 310
Scarsdale, NY 10583-5316
Phone (914) 725-6970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2173801NYMDSpecialist
217380NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC Orthopaedic Surgery CurrentSince Oct 1, 2007 Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery CurrentSince Oct 1, 2007 Accepting new patients
Kerlan-Jobe Orthopaedic Clinic Orthopaedic Surgery Past Accepting new patients

Locations

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

130 E 77th St
Fl 5
New York, NY 10075

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

2 Overhill Rd
Scarsdale, NY 10583
Phone (212) 506-0236

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

2 Overhill Rd
Ste 330
Scarsdale, NY 10583
Phone (914) 725-1800

Interoperability endpoints

  • Direct secure messaging: sdelamora67190@northwell.direct-ci.com
  • Direct secure messaging: sergai.delamora.1@11998.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1699753814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "FL5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-737-3301",
            "fax_number": "212-734-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20OVERHILL ROAD",
            "address_2": "#310",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835316",
            "telephone_number": "212-737-3301",
            "fax_number": "212-734-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMORA",
        "first_name": "SERGAI",
        "middle_name": "NICHOLAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2173801",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "217380",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "217380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2173801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDCARE GROUP NUMBER",
            "identifier": "WEG241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.