Active NPI
Julia Paige Deloach, MSN, FNP-BC
- Family Nurse Practitioner
- Mamaroneck, NY
National Provider Identifier
1912450719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2299470
- Practice address
- 689 Mamaroneck Ave
Mamaroneck, NY 10543-5910 - Phone
- (914) 732-0233
- NPI assigned
- Jul 27, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2299470 | MA | Primary |
Addresses
Primary practice location
689 Mamaroneck Ave
Mamaroneck, NY 10543-5910
Mailing address
689 Mamaroneck Ave
Mamaroneck, NY 10543-5910
Other practice location 1
415 Columbia Rd
Dorchester, MA 02125-2424
Phone (617) 803-0213
Other names 1
- Julia Paige Stern
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299470 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
689 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 253-1100
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- julia.deloach@odfmc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/EAJCAA
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1912450719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 MAMARONECK AVE",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105435910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 MAMARONECK AVE",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105435910",
"telephone_number": "914-732-0233"
}
],
"practiceLocations": [
{
"address_1": "415 Columbia Rd",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021252424",
"country_code": "US",
"telephone_number": "617-803-0213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOACH",
"first_name": "JULIA",
"middle_name": "PAIGE",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2299470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "STERN",
"middle_name": "PAIGE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.