Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Duppert

Individual provider Physician Assistant · NPI 1053288555

Mary Duppert is a Physician Assistant in Darby, Pennsylvania. Qualified in 2025, 1 year ago. Practices with ENT and Allergy of Delaware LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
1
Licensed in
DE, PA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone: (610) 237-4814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 N Clayton St, Wilmington, DE 19805-3165 — (610) 237-4814

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067295 (PA)
Physician Assistant Taxonomy 363A00000X · Licence C5-0012364 (DE)

Record details

NPI number1053288555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address112 Chesley Dr, Media, PA 19063-1762

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ent And Allergy Of Delaware Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Darby