Organization Active NPI

Matthew J. Deluca, M.D., P.a.

  • Neurology Physician
  • Bloomfield, NJ
National Provider Identifier
1235440926
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA0044133 Issued in NJ
Legal business name
MATTHEW J. DELUCA, M.D., P.A.
Practice address
265 Broad St
Bloomfield, NJ 07003-2764
Phone
(973) 566-0300
Fax
(973) 566-0303
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Matthew J Deluca, MDNPI 1982680302
Title
President
Phone
(973) 566-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MA0044133 NJ Primary

Addresses

Primary practice location

265 Broad St
Bloomfield, NJ 07003-2764

Mailing address

265 Broad St
Bloomfield, NJ 07003-2764
Phone (973) 566-0300

National Provider Directory

National Provider Directory

Locations

265 Broad St
Bloomfield, NJ 07003
Phone (973) 556-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1235440926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032764",
            "telephone_number": "973-566-0300",
            "fax_number": "973-566-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032764",
            "telephone_number": "973-566-0300",
            "fax_number": "973-566-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. DELUCA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-566-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA0044133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.