Active NPI
Ashley Taylor Delucia
- Physician Assistant
- Holmdel, NJ
National Provider Identifier
1801536693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00709800
- Practice address
- 733 N Beers St
Holmdel, NJ 07733-1528 - Phone
- (732) 739-2100
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00709800 | NJ | Primary |
Addresses
Primary practice location
733 N Beers St
Holmdel, NJ 07733-1528
Mailing address
489 Hobson Ave
Saddle Brook, NJ 07663-5907
Phone (201) 655-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220708002256 | NJ | Practitioner - Physician Assistant | 8426438367 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samra Plastic and Reconstructive Surgery LLC
Practice addresses (Care Compare)
300 Perrine Rd
Suite 333
Old Bridge, NJ 08857-3627
733 N Beers St
Suite U1
Holmdel, NJ 07733-1513
Phone (732) 739-2100
Hospital & facility affiliations
- Riverview Medical Center
- Jersey Shore University Medical Center
- Bayshore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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 7
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": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1801536693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 HOBSON AVE",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635907",
"telephone_number": "201-655-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331528",
"telephone_number": "732-739-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "ASHLEY",
"middle_name": "TAYLOR",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-07-07",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00709800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.