Individual provider Active NPI

Robert Delucas Jr., CRNP

  • Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1780257485
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023140 Issued in PA
Practice address
234 Mall Blvd Ste G30
King of Prussia, PA 19406-2921
Phone
(800) 321-9999
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023140 PA Primary

Addresses

Primary practice location

234 Mall Blvd Ste G30
King of Prussia, PA 19406-2921

Mailing address

234 Mall Blvd Ste G30
King of Prussia, PA 19406-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20210811000104 PA Practitioner - Nurse Practitioner 6709280910 Reassigns benefits to 1 organization
I20230626001765 NJ Practitioner - Nurse Practitioner 6709280910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP023140PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince May 15, 2023 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince May 15, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jul 19, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jul 19, 2021 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

234 Mall Blvd
Ste G30
King of Prussia, PA 19406
Phone (267) 339-3647

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1780257485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MALL BLVD STE G30",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MALL BLVD STE G30",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062921",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCAS",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.