Sallustio Delre, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA05938000 Issued in NJ

Practice address

155 Medical Center Way
3Rd FL
Somers Point, NJ 08244-2306

Phone

(609) 365-3100

Fax

(609) 365-3165

NPI assigned

Apr 24, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sallustio.delre.1@15449.direct.athenahealth.com

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Shore Specialty Consultants

  • Multi-Specialty Clinic/Center
  • Somers Point, NJ
  • NPI 1962808519
  Medicare reassignment NPD
• Atlantic Pulmonary & Critical Care Associates PA

  • Pulmonary Disease Physician
  • Galloway, NJ
  • NPI 1083713234
  NPD
• Clinical Health Care Associates of New Jersey, PC

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1134278971
  NPD
• Shore Family Medicine Ass

  • Family Medicine Physician
  • Somers Point, NJ
  • NPI 1003851759
  NPD (past)

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

• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Presbyterian Medical Center of the University of Pennsylvania Health S

  dba UPHS Presbyterian Medical Center

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1245207521
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1306802988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEDICAL CENTER WAY",
            "address_2": "3RD FL",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442306",
            "telephone_number": "609-365-3100",
            "fax_number": "609-365-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL CENTER WAY",
            "address_2": "3RD FL",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442306",
            "telephone_number": "609-365-3100",
            "fax_number": "609-365-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELRE",
        "first_name": "SALLUSTIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05938000",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05938000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7849206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Decore, LSW
• Maureen P Deely, RN
• Linda Mary Degrazia, APN
• Delanzo Chiropractic Center, LLC (DeLanzo Chiropractic and Aesthetic Center, LLC)
• Ronald Anthony Delanzo Jr., D.C.
• Chelsea Demarco
• Paul S. Demarco, DPM
• Mark A Demasi, DO
• Eugene John Demorat, M.D.
• Jessica Deputter, LCSW, LCADC

• Pulmonary Disease Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.