Individual provider Active NPI

Gina Maria Delcurla, D.O.

  • Family Medicine Physician
  • Wall Township, NJ
National Provider Identifier
1275694358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05839700 Issued in NJ
Practice address
3100 State Route 138 Ste 3
Wall Township, NJ 07719-9021
Phone
(732) 280-9500
Fax
(732) 776-5198
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

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
Family Medicine Physician 207Q00000X 25MB05839700 NJ Primary

Addresses

Primary practice location

3100 State Route 138 Ste 3
Wall Township, NJ 07719-9021

Mailing address

3100 State Route 138 Ste 3
Wall Township, NJ 07719-9021
Phone (732) 280-9500

Other identifiers 3

IdentifierTypeStateIssuer
PRV210516OtherNJUS FAMILY HEALTH PLAN
4540977OtherNJAETNA
0617034140OtherNJHORIZON BCBS

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
I20040312000127 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3678461514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05839700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Faistl, MD,PA Family Medicine PastSince Mar 13, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275694358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 STATE ROUTE 138 STE 3",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199021",
            "telephone_number": "732-280-9500",
            "fax_number": "732-776-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 STATE ROUTE 138 STE 3",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199021",
            "telephone_number": "732-280-9500",
            "fax_number": "732-776-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCURLA",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05839700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY HEALTH PLAN",
            "identifier": "PRV210516",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4540977",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON  BCBS",
            "identifier": "0617034140",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.