Individual provider Active NPI

Ingrid Florencio Delinski

  • Medical Physician Assistant
  • Worcester, MA
National Provider Identifier
1922651405
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000144-P.A. Issued in PR
Practice address
78 Alvarado Ave
Worcester, MA 01604-1152
Phone
(978) 760-5962
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 000144-P.A. PR Primary

Addresses

Primary practice location

78 Alvarado Ave
Worcester, MA 01604-1152

Mailing address

78 Alvarado Ave
Worcester, MA 01604-1152
Phone (978) 760-5962

Other practice location 1

78 Alvarado Ave
Worcester, MA 01604-1152
Phone (978) 760-5962 ext. 97876

Other identifiers 1

IdentifierTypeStateIssuer
000144-P.A.OtherPRPHYSICIAN ASSISTENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9787605962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000144-P.A.PRMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1922651405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ALVARADO AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041152",
            "telephone_number": "978-760-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 ALVARADO AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041152",
            "telephone_number": "978-760-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Alvarado Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016041152",
            "country_code": "US",
            "telephone_number": "978-760-5962 x97876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELINSKI",
        "first_name": "INGRID",
        "middle_name": "FLORENCIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "000144-P.A.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTENT",
            "identifier": "000144-P.A.",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9787605962",
            "affiliation": "N",
            "endpointDescription": "9787605962",
            "address_1": "78 Alvarado Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016041152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.