Active NPI
Delroy C Allen, PA-C
- Physician Assistant
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031551
- Practice address
- 2800 Marcus Ave Ste 102
New Hyde Park, NY 11042-1008 - Phone
- (516) 622-6040
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 031551 | NY | Primary |
Addresses
Primary practice location
2800 Marcus Ave Ste 102
New Hyde Park, NY 11042-1008
Mailing address
2800 Marcus Ave Ste 102
New Hyde Park, NY 11042-1008
Phone (516) 622-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Rutgers New Jersey Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 72.13
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4852 | CT | MD | General Practice Dentistry |
| 59104 | CA | MD | Pharmacist |
| 031551 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
2800 Marcus Ave
Ste 102
New Hyde Park, NY 11042
Phone (516) 622-6040
575 Underhill Blvd
Ste 140
Syosset, NY 11791
Phone (516) 622-6040
Interoperability endpoints
- dallen116582@direct.optum.com
- delroy.allen@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1982229563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE STE 102",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421008",
"telephone_number": "516-622-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE STE 102",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421008",
"telephone_number": "516-622-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DELROY",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.