Jefferson Dekloe, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MT233473 Issued in PA

Practice address

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Phone

(610) 866-5555

Fax

(610) 866-3151

NPI assigned

Apr 21, 2025

Sex

Male

Sole proprietor

No

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 PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1821885351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKLOE",
        "first_name": "JEFFERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT233473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Defelice, PA-C
• Kelly Defrancisco, CRNP
• Frank N Defrank, MD
• Megan Patricia Dehaven, PA-S
• Maria R. Dejoseph, M.D.
• Monika Deknatel, LCSW
• Daniel Joseph Del Alcazar, MD
• Matthew Del Signore
• Del-Rio Care Group LLC
• Jessica Mae Delcollo, M.D.

• Otolaryngology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.