Active NPI
Wilson Eduardo Delgado, M.D.
- Pediatrics Physician
- Union City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09263600
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09263600 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Pediatrics | Current | Accepting new patients |
| Riverside Medical Group | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Pediatrics | Past | 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
- https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
- 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.
-
- Pediatrics Physician
- Edgewater, NJ
- NPI 1194487397
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Specialist
- Paramus, NJ
- NPI 1841353737
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Pediatrics
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.