Active NPI 1053662510 Individual Practitioner Female Practitioner

Johnna Delevan , MS, ED

Specialist • Malta, NY

Professional Overview & Biography Verified Profile Summary

Johnna Delevan, MS, ED is a registered healthcare professional specializing in Specialist in Malta, NY. Practice services are available at 100 SARATOGA VILLAGE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Saratoga Village Blvd
Suite 35

Malta, NY 120203737

Telephone 5188999235

Associated Practice Facility / Clinic

🏢 Saratoga Family Medicine,pllc Facility NPI 1386730752

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Malta, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Malta, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Sheri Mccarthy , OTR, L

Occupational Therapist

NPI 1013226117

Occupational Therapist Registered, L

Aurdey Dumary

Specialist

NPI 1023352820

Marisa Cioffi

Speech-Language Pathologist

NPI 1083343883

Emily Brynes , MS ED

Speech-Language Pathologist

NPI 1083490171

Master of Science in Education

Kristy Brothers

Psychologist - School

NPI 1093080053

Rachel Cooper

Speech-Language Pathologist

NPI 1093432205

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Specialist

✅

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2012

Registered at 100 SARATOGA VILLAGE BLVD, SUITE 35, MALTA, NY 120203737 (Tel: 5188999235)

📍

Updated Business Mailing Address September 25, 2012

Registered at 100 SARATOGA VILLAGE BLVD, SUITE 35, MALTA, NY 120203737 (Tel: 5188999235)

👤

Provider Name / Credentials Updated September 25, 2012

Recorded as JOHNNA DELEVAN, MS, ED

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Specialist (License #$$$$$$$$$ in NY)

🟢

Initial NPI Registration & Enumeration September 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053662510

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 25, 2012

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Saratoga Village Blvd, Suite 35

Malta, NY 120203737

Phone: 5188999235

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.