Active NPI
Cynthia W. Delago, M.D.
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1972573947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD039793E
- 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, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6216404 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05268400 | NJ | MD | Pediatrics Physician |
| 25MA05268400 | NJ | MD | Child Abuse Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Pediatrics | Current | 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
- 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.
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- NPI 1730132028
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.