Michael John Delgiodice, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270M00070700 Issued in NJ

Practice address

412 Franklin Ave
Hasbrouck Heights, NJ 07604-2515

Phone

(201) 951-8715

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Eye Health & Vision Center LLC

  • Optometrist
  • Garfield, NJ
  • NPI 1992002794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1013178276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FRANKLIN AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076042515",
            "telephone_number": "201-951-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 FRANKLIN AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076042515",
            "telephone_number": "201-951-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGIODICE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270M00070700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cor Behavioral Group LLC
• Louis G Cornacchia III, M.D.
• David F Porter D.O., P.a.
• Eileen Delaney, APN C
• Delcalzo Spine and Wellness Center
• Michael Denichilo, LCSW
• Justin Anthony Dipisa, PHARMACIST
• Carrie Ditzel, PHD
• Christina Dizzia
• Susan Eardley, RPH

• Optometrist in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.