Individual provider Active NPI

Antonette Tabique Dulay, MD

  • Maternal & Fetal Medicine Physician
  • West Chester, PA
National Provider Identifier
1710912316
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD451534 Issued in PA
Practice address
780 E Market St Ste 105
West Chester, PA 19382-4882
Phone
(610) 649-9021
Fax
(484) 266-7352
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD451534 PA Primary

Addresses

Primary practice location

780 E Market St Ste 105
West Chester, PA 19382-4882

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

451 Conshohocken State Rd
Gladwyne, PA 19035-1421
Phone (610) 649-9021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antonette.dulay@axia.eclinicaldirectplus.com Direct

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
I20140915001908 PA Practitioner - Obstetrics/Gynecology 4981608148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

780 E Market St
105 RWHG Perinatal Testing Center
West Chester, PA 19382-4882
Phone (610) 829-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Maternal & Fetal Medicine CurrentSince Jun 26, 2018 Accepting new patients
Main Line Healthcare CurrentSince Dec 13, 2023 Accepting new patients
Regional Women'S Health Group, LLC Maternal & Fetal Medicine PastSince Jul 17, 2021 Accepting new patients
Adena Medical Group LLC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

780 E Market St
Ste 105
West Chester, PA 19382
Phone (610) 649-9021

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: antonette.dulay@axia.eclinicaldirectplus.com
  • Direct secure messaging: adulay@direct.wtbyhosp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1710912316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E MARKET ST STE 105",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824882",
            "telephone_number": "610-649-9021",
            "fax_number": "484-266-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Conshohocken State Rd",
            "address_purpose": "LOCATION",
            "city": "Gladwyne",
            "state": "PA",
            "postal_code": "190351421",
            "country_code": "US",
            "telephone_number": "610-649-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULAY",
        "first_name": "ANTONETTE",
        "middle_name": "TABIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD451534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antonette.dulay@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "780 E Market St Ste 105",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193824882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.