Individual provider Active NPI

Joseph A Delapa, DDS

  • General Practice Dentistry
  • South Salem, NY
National Provider Identifier
1730229790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036262-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150417000054 NY Order and Referring Only - DentistPractitioner - Dentist 8123346426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036262-1NYMDGeneral Practice Dentistry
036262NYMDPharmacist

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

Verify at the official NPI Registry.