NICOLE HELENE DELARATO M.D.
NPI 1114979853
Ophthalmology in Philadelphia, PA

Q: What is Nicole Delarato's NPI number?

The NPI number for Nicole Delarato is 1114979853. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Nicole Delarato's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Delarato was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-8120(215) 427-8919 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Helene Delarato M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE HELENE DELARATO M.D. (NPI 1114979853) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD064078L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sewell, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1995).

NPPES Registry Identity

NPI1114979853

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNICOLE HELENE DELARATOCredential: M.D.

Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324

Phone(215) 427-8120

Fax(215) 427-8919

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1995

Enumeration DateMay 17, 2006

Last NPPES UpdateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1114979853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in PA · MD064078L✔ Licensed in NJ · 25MA07143400

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

160 E ERIE AVE, Philadelphia, PA 19134

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Secondary Practice Location 1

Location 1100 Kings Way E Ste CSewell, NJ 08080-2238 · Phone (856) 582-0644 · Fax (856) 582-0622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Helene Delarato M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486615093

PECOS Enrollment IDI20041026000590, I20071006000000

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY LIBARNES BAJWA MD

Pediatrics (Neonatal-Perinatal Medicine)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

STC PEDIATRICS LLC

Pediatrics (Pediatric Allergy/Immunology)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5284

JOANNA OVERTON DO

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

MS. NEHA BUTT MBBS

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134

Philadelphia County (923) 333-1317

CHRISTOPHER HAINES D.O.

Emergency Medicine

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5369

DR. FRASER HUNTINGTON BROWN M.D.

Radiology (Diagnostic Neuroimaging)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-3725

NORRELL KRISTIN ATKINSON MD

Pediatrics (Child Abuse Pediatrics)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

VICTORIA NICOLE HUDSON CRNP-PC

Nurse Practitioner

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Delarato's NPI number?

The NPI number for Nicole Delarato is 1114979853. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Nicole Delarato located?

Nicole Delarato practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-8120.

What is Nicole Delarato's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicole Delarato enrolled in Medicare?

Yes. Nicole Delarato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Delarato accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Nicole Delarato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Delarato was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.