Shelley Ann Deluca Fink, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA055546 Issued in PA

Practice address

1216 Arch St
Suite 3B
Philadelphia, PA 19107-2835

Phone

(215) 563-1199

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Ann Deluca Former name

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sdelucafink245886@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Florida Urology Partners, LLP

  • Urology Physician
  • Tampa, FL
  • NPI 1447401955
  Medicare reassignment
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Philadelphia Urology Associates PC

  • Urology Physician
  • Philadelphia, PA
  • NPI 1497700363
  NPD (past)
• Florida Urology Partners LLP

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1285279430
  NPD (past)
• Tampa General Provider Network Inc

  • Urology Physician
  • Palm Springs, FL
  • NPI 1851030282
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1760738512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ARCH ST",
            "address_2": "SUITE 3B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072835",
            "telephone_number": "215-563-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 ARCH ST",
            "address_2": "SUITE 3B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072835",
            "telephone_number": "215-563-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA FINK",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "DELUCA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan David Delp, RD, LDN
• Daniel Anthony Delportal, M.D.
• John A Delrossi, PA-C
• Katie Ann Delrusso, PHARMD
• Delta Excellence Health Care LLC
• Dena Marie Deluca
• John Edward Deluca, OTR/L
• Nastasia Deluca
• Nicholas Joseph Deluca III, MD/MBA
• Paul Michael Deluca, D.P.T.

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.