Individual provider Active NPI

Gustavo Delaluz, MD

  • Pulmonary Disease Physician
  • Manasquan, NJ
National Provider Identifier
1255333043
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA60687 Issued in NJ
Practice address
2640 Hwy 70
BLD 6a
Manasquan, NJ 08736-2609
Phone
(732) 528-5900
Fax
(732) 528-0887
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA60687 NJ Primary

Addresses

Primary practice location

2640 Hwy 70
BLD 6a
Manasquan, NJ 08736-2609

Mailing address

2640 Hwy 70
BLD 6a
Manasquan, NJ 08736
Phone (732) 528-5900

Other identifiers 1

IdentifierTypeStateIssuer
6189504MedicaidNJ

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
I20101004000216 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1052312931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Pulmonary, PAGroup PAC ID 3173593431, 18 clinicians

Practice addresses (Care Compare)

1608 Route 88
Suite 117
Brick, NJ 08724-3044
Phone (732) 775-9075

2640 Hwy 70
Suite 6a
Manasquan, NJ 08736-2610
Phone (732) 775-9075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60687NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Pulmonary, PA Pulmonary Disease CurrentSince Jan 1, 1989 Accepting new patients

Locations

1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075

2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900

301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100

301 Bingham Ave
Ste 1B
Ocean, NJ 07712
Phone (732) 775-9075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHEDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1255333043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HWY 70",
            "address_2": "BLD 6A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-528-5900",
            "fax_number": "732-528-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HWY 70",
            "address_2": "BLD 6A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-528-5900",
            "fax_number": "732-528-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELALUZ",
        "first_name": "GUSTAVO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA60687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6189504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.