MS. DOREEN DELANEY P.A.
NPI 1992723167
Physician Assistant - Surgical in Port Jefferson Station, NY

Active since July 17, 2006PECOS Enrolled
1110 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 476-9100(631) 476-4919 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2021, Dec 2, 2020, Feb 16, 2016 (3 updates tracked since 2016).

About Ms. Doreen Delaney P.a. NPPES

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

MS. DOREEN DELANEY P.A. (NPI 1992723167) is an individual surgical provider in Port Jefferson Station, New York, licensed in New York (0062761) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992723167
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. DOREEN DELANEYCredential: P.A.
Location Address1110 HALLOCK AVEPort Jefferson Station, NY 11776-2048
Mailing Address1110 Hallock AvePort Jefferson Station, NY 11776-2048 · (631) 476-9100 · Fax (631) 476-4919
Fax(631) 476-4919
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
NPI 1992723167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 0062761
1110 HALLOCK AVE, Port Jefferson Station, NY 11776

Other Identifiers 1

Medicaid05749940NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Doreen Delaney P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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

Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Anesthetist, Certified Registered
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Internal Medicine
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Surgery (Vascular Surgery)
1110 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

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 Doreen Delaney's NPI number?

The NPI number for Doreen Delaney is 1992723167. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Doreen Delaney located?

Doreen Delaney practices at 1110 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-9100.

What is Doreen Delaney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Doreen Delaney enrolled in Medicare?

Yes. Doreen Delaney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Doreen Delaney was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.