Gustavo Deltoro

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

196158 Issued in NY

Practice address

3959 Broadway
Columbia University Columbia .Edu
New York, NY 10032-1559

Phone

(212) 304-7250

Fax

(212) 544-1974

NPI assigned

Feb 17, 2006

Last updated

Apr 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: gustavodeltoro@whmc.allscriptsdirect.net

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

• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796
  Medicare reassignment NPD
• Wyckoff Doctors

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1811347404
  NPD
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD
• Wyckoff Medical Associates, PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1376993964
  NPD
• Trustees of Columbia University in the City of New York

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New York, NY
  • NPI 1760444822

  Pediatric Hematology-Oncology

  NPD (past)
• Wyckoff Doctors

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1790164317
  NPD (past)
• Wyckoff Heights Medical Services PC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1700824372
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1205801883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213339",
            "telephone_number": "212-737-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "COLUMBIA UNIVERSITY COLUMBIA .EDU",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "212-304-7250",
            "fax_number": "212-544-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELTORO",
        "first_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "196158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01859365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jecelle Delrosario, RN
• Charity Delsie, M.S. CCC-SLP TSSLD
• Anthony Giacinto Delsignore, PHARM D, MD
• Jeffrey Delson, M.D.
• Cristina Deltoro, M.D.
• Alexander Frank Deluca, M.D., MPH
• Antoinette Deluca, PSY.D.
• Ilana Juliett Deluca, M.D.
• Joseph Salvatore Deluca, PH.D.
• Layla Alexandria Deluca

• Pediatric Hematology & Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.