Individual provider Active NPI

Joseph Anthony Deluca, M.D.

  • Specialist
  • Lyndhurst, NJ
National Provider Identifier
1205916509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA48353 Issued in NJ
Practice address
20 Park Ave
Suite 1a
Lyndhurst, NJ 07071-1012
Phone
(201) 896-0096
Fax
(201) 896-0062
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA48353 NJ Primary

Addresses

Primary practice location

20 Park Ave
Suite 1a
Lyndhurst, NJ 07071-1012

Mailing address

20 Park Ave
Suite 1a
Lyndhurst, NJ 07071-1012
Phone (201) 896-0096

Other identifiers 1

IdentifierTypeStateIssuer
0840301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20080625000006 NJ Practitioner - Ophthalmology 4789755380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology NJ LLCGroup PAC ID 2668820440, 12 clinicians

Practice addresses (Care Compare)

20 Park Ave
Lyndhurst, NJ 07071-1012
Phone (201) 896-0096

799 Bloomfield Ave
Verona, NJ 07044-1367
Phone (973) 571-1500

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
61.23

Merit-based Incentive Payment System (MIPS)

Final score
90.08 of 100Reported as individual
Quality
94.49
Improvement activities
40
Cost
74.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA48353NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology NJ LLC CurrentSince Jan 1, 2024 Accepting new patients
Ophthalmology NJ LLC CurrentSince Jan 1, 2024 Accepting new patients
Eye Surgeons and Physicians, PA CurrentSince Aug 1, 2018 Accepting new patients

Locations

5 Franklin Ave
Ste 209
Belleville, NJ 07109
Phone (973) 751-6060

400 Valley Rd
Ste 106
Mt Arlington, NJ 07856
Phone (973) 584-4451

799 Bloomfield Ave
Verona, NJ 07044
Phone (973) 239-1112

Interoperability endpoints

  • Direct secure messaging: jdeluca@essex.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205916509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "address_2": "SUITE 1A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711012",
            "telephone_number": "201-896-0096",
            "fax_number": "201-896-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "address_2": "SUITE 1A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711012",
            "telephone_number": "201-896-0096",
            "fax_number": "201-896-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA48353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.