Active NPI
Jillian Diane Dellamonica, CRNP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP024545
- Practice address
- 160 E Erie Ave
Philadelphia, PA 19134-1011 - Phone
- (484) 628-1324
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP024545 | PA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | SP024545 | PA |
Addresses
Primary practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
Other practice location 1
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 334-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-6778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP024545 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Past | Accepting new patients |
Locations
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
Organizations & group practices 6
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
-
- Pediatric Infectious Diseases Physician
- Philadelphia, PA
- NPI 1134763568
-
- Ophthalmology Physician
- Newtown, PA
- NPI 1548141997
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatric Allergy/Immunology Physician
- Philadelphia, PA
- NPI 1003450420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1821758665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011",
"telephone_number": "484-628-1324"
}
],
"practiceLocations": [
{
"address_1": "255 W Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "PA",
"postal_code": "193011763",
"country_code": "US",
"telephone_number": "610-334-8341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLAMONICA",
"first_name": "JILLIAN",
"middle_name": "DIANE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2024-03-29",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP024545",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP024545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.