Dr Delgra Internal Medicine P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MAO65559 Issued in NJ

Legal business name

DR DELGRA INTERNAL MEDICINE P.C.

Practice address

332 Bloomfield Ave
Suite 2
Bloomfield, NJ 07003-4806

Phone

(973) 429-0178

Fax

(973) 429-0297

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Borgonia Delgra, MDNPI 1154313526

Title

MD / President

Phone

(973) 429-0178

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander B Delgra, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1154313526
  NPD (past) Authorized official

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1164755666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BLOOMFIELD AVE",
            "address_2": "SUITE 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034806",
            "telephone_number": "973-429-0178",
            "fax_number": "973-429-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BLOOMFIELD AVE",
            "address_2": "SUITE 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034806",
            "telephone_number": "973-429-0178",
            "fax_number": "973-429-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DELGRA INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "DELGRA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "BORGONIA",
        "authorized_official_title_or_position": "MD / PRESIDENT",
        "authorized_official_telephone_number": "973-429-0178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO65559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.