Active NPI
Joseph A Delapa, DDS
- General Practice Dentistry
- South Salem, NY
National Provider Identifier
1730229790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 036262-1
- Practice address
- 363 Smith Ridge Rd
South Salem, NY 10590-2327 - Phone
- (914) 533-6166
- Fax
- (914) 533-6167
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 036262-1 | NY | Primary |
Addresses
Primary practice location
363 Smith Ridge Rd
South Salem, NY 10590-2327
Mailing address
363 Smith Ridge Rd
South Salem, NY 10590-2327
Phone (914) 533-6166
Other names 1
- Giuseppe A Delapa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150417000054 | NY | Order and Referring Only - Dentist | 8123346426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036262-1 | NY | MD | General Practice Dentistry |
| 036262 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730229790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 SMITH RIDGE RD",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105902327",
"telephone_number": "914-533-6166",
"fax_number": "914-533-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 SMITH RIDGE RD",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105902327",
"telephone_number": "914-533-6166",
"fax_number": "914-533-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAPA",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "036262-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GIUSEPPE",
"last_name": "DELAPA",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Salem, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.