John Edward Deloria, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

135764-1 Issued in NY

Practice address

3835 204TH St
Bayside, NY 11361

Phone

(718) 974-1879

NPI assigned

Nov 15, 2012

Last updated

Nov 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medcare, LLCGroup PAC ID 9537265541, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12931/brand/1/csg/1/fhir/r4
• Direct secure messaging: johndeloria@mai.allscriptsdirect.net

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.

• Medcare, LLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508993650
  Medicare reassignment Care Compare group NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• Essen Medical Urgicare, PLLC

  dba Metro Urgicare

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment NPD
• House Call Medical Services of New York, PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1851345946
  Medicare reassignment NPD
• Ultrasonics Diagnostics LLC

  dba CityChoice Medical & Diagnostics

  • Physiological Laboratory
  • Glendale, NY
  • NPI 1215391883
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Essen Medical Associates,PC

  • Legal Medicine (M.D./D.O.) Physician
  • Jamaica, NY
  • NPI 1700023926
  NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Lafayette Medical Office, PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1912004995

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1760726707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 204TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611864",
            "telephone_number": "718-974-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 204TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-974-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Via Pisacane 42",
            "address_purpose": "LOCATION",
            "city": "Senigallia",
            "state": "Ancona",
            "postal_code": "60019",
            "country_code": "IT",
            "telephone_number": "393486065138",
            "fax_number": "071-792-9298",
            "country_name": "Italy",
            "address_type": "FGN"
        },
        {
            "address_1": "Via Pisacane 42",
            "address_purpose": "LOCATION",
            "city": "Senigallia",
            "state": "Ancona",
            "postal_code": "60019",
            "country_code": "IT",
            "telephone_number": "393486065138",
            "fax_number": "071-792-9298",
            "country_name": "Italy",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "DELORIA",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "135764-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dejean
• Stefanie Dela Cruz
• Yessenia Delacuesta
• Mercedes Virginia Delgado, L.AC.
• Tania Deliard, L.P.N.
• Lauren Demaria, LCSW
• Keith Denis, PA-C
• Chantal Dennis-George, LMSW
• Dentistry by Sherry
• Anisio Deoliveira, CCC-SLP

• Family Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.