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THOMAS DALFONSO JR.
NPI 1538020409
Physician Assistant - Medical in Philadelphia, PA

Active since November 20, 2025PECOS Enrolled
1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Dalfonso Jr. NPPES

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

THOMAS DALFONSO JR. (NPI 1538020409) is an individual medical provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538020409
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS DALFONSO JR.
Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311
Mailing Address1 Convention AvePhiladelphia, PA 19104-4311 · (215) 662-4000
Phone(215) 662-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1538020409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1 CONVENTION AVE, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Dalfonso Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981180544
PECOS Enrollment IDI20260113003675
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.

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.

TIFFANY GARDNER
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 592-2401
TRISTAN S BOYER RN
Registered Nurse (Critical Care Medicine)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
AMANDA LEE MCFALL PA-C
Physician Assistant (Medical)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (302) 357-0138
MORGAN BOSAK
Pharmacist (Critical Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 327-5986
DR. SIDNEE NICHOLLS
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-1600
SARAH KATHERINE FIORDALISO
Registered Nurse
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-3000
MEGAN COLLEEN FITZSIMMONS CRNP
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
RACHEL KELLEY SHIELDS MSN
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000

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 Thomas Dalfonso's NPI number?

The NPI number for Thomas Dalfonso is 1538020409. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Thomas Dalfonso located?

Thomas Dalfonso practices at 1 Convention Ave, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Thomas Dalfonso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Dalfonso enrolled in Medicare?

Yes. Thomas Dalfonso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Dalfonso was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.