Individual provider Active NPI

Wilson Eduardo Delgado, M.D.

  • Pediatrics Physician
  • Union City, NJ
National Provider Identifier
1275844516
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09263600 Issued in NJ
Practice address
4201 New York Ave
Union City, NJ 07087-4929
Phone
(201) 601-9515
Fax
(201) 601-9516
NPI assigned
Jul 1, 2010
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09263600 NJ Primary

Addresses

Primary practice location

4201 New York Ave
Union City, NJ 07087-4929

Mailing address

411 Cortlandt St
Belleville, NJ 07109-3203
Phone (973) 459-5938

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
I20130718000338 NJ Practitioner - Family PracticePractitioner - Pediatric Medicine 6800037714 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09263600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Pediatrics LLC Pediatrics CurrentSince May 1, 2026 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC Pediatrics CurrentSince Aug 1, 2016 Accepting new patients
Riverside Medical Group Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Pediatrics PastSince Aug 28, 2022 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Advanced Laparoscopic Associates Past Accepting new patients

Locations

34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094
Phone (201) 864-6868

4201 New York Ave
Union City, NJ 07087
Phone (201) 601-9515

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
  • Direct secure messaging: wdelgado77292@direct.optum.com

Organizations & group practices 7

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1275844516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CORTLANDT ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093203",
            "telephone_number": "973-459-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874929",
            "telephone_number": "201-601-9515",
            "fax_number": "201-601-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "WILSON",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09263600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.