Individual provider Active NPI

Edward Delano, M.D.

  • Specialist
  • Bay Shore, NY
National Provider Identifier
1962496091
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
146226 Issued in NY
Practice address
1855 Union Blvd
Bay Shore, NY 11706-7949
Phone
(631) 665-3666
NPI assigned
Sep 2, 2005
Reactivated
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 146226 NY Primary

Addresses

Primary practice location

1855 Union Blvd
Bay Shore, NY 11706-7949

Mailing address

1855 Union Blvd
P.O. Box 5390
Bay Shore, NY 11706-7949
Phone (631) 665-3666

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001382 NY Practitioner - Internal Medicine 9739375627 Practice locations: Bay Shore, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Union Blvd
Bay Shore, NY 11706-7949

1855 Union Blvd F
Bay Shore, NY 11706-7949

Hospital & facility affiliations

  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146226NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Tamburrino Past Accepting new patients
PDG Medical PC Past Accepting new patients

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962496091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 UNION BLVD",
            "address_2": "P.O. BOX 5390",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067949",
            "telephone_number": "631-665-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067949",
            "telephone_number": "631-665-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANO",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "146226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.