Michael Robert Delman, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

103920-1 Issued in NY

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(631) 675-4149

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

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.

• Seafield Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Westhampton Beach, NY
  • NPI 1053420919
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1902862907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 THE HELM",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302913",
            "telephone_number": "631-786-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-675-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 The Helm",
            "address_purpose": "LOCATION",
            "city": "East Islip",
            "state": "NY",
            "postal_code": "117302913",
            "country_code": "US",
            "telephone_number": "631-786-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELMAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "103920-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00180525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Degelorm, PHARMD
• Stephanie J Dejoseph
• Ryan Dekenipp, PHYSICIAN ASSISTANT
• Edward Delano, M.D.
• Myrna Delarosamatos, RN
• Danielle Lee Deluca, R.D., C.D.N.
• Giuseppe Amedeo Demeo, H.I.S.
• Alexandra Demetriou, OTR L CHT
• Kathy Deng, M.D.
• Jasmin Dengeles, LMSW

• Gastroenterology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.