Individual provider Active NPI

Cynthia W. Delago, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1972573947
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD039793E Issued in PA
Practice address
5501 Old York Rd
1St Floor
Philadelphia, PA 19141-3018
Phone
(215) 456-7171
Fax
(215) 456-3436
NPI assigned
Jan 24, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA05268400 NJ
Pediatrics Physician 208000000X MD039793E PA Primary
Child Abuse Pediatrics Physician 2080C0008X 25MA05268400 NJ

Addresses

Primary practice location

5501 Old York Rd
1St Floor
Philadelphia, PA 19141-3018

Mailing address

5501 Old York Rd
1St Floor
Philadelphia, PA 19141-3018
Phone (215) 456-7170

Other identifiers 1

IdentifierTypeStateIssuer
6216404MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080124000296 PA Practitioner - Pediatric Medicine 0840372272 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA05268400NJMDPediatrics Physician
25MA05268400NJMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Feb 26, 2011 Accepting new patients
Einstein Practice Plan Inc Pediatrics CurrentSince Feb 26, 2011 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

Interoperability endpoints

  • Direct secure messaging: cynthia.delago@direct.einstein.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1972573947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7170",
            "fax_number": "215-456-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7171",
            "fax_number": "215-456-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGO",
        "first_name": "CYNTHIA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA05268400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD039793E",
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "NJ",
            "license": "25MA05268400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6216404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.