Edgardo Deleon, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA04163200 Issued in NJ

Practice address

1505 Sherman Ave
Vineland, NJ 08360

Phone

(856) 363-1000

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  NPD
• Diabetes & Endocrinology Associates of South Jersey PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hammonton, NJ
  • NPI 1073641429
  NPD (past)
• Haverford Anesthesia Associates-NJ, P.C.

  • Anesthesiology Physician
  • Elmer, NJ
  • NPI 1538112537
  NPD (past)
• South Jersey Health System Emergency Physician Services P a

  • Emergency Medicine Physician
  • Elmer, NJ
  • NPI 1306871314
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1316995392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500 4056",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191784056",
            "telephone_number": "302-709-4505",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-363-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "EDGARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04163200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dca of Vineland LLC (U.S. Renal Care Vineland Dialysis)
• John Edward Deaver, MD
• Deborah M. Jacob, Psy.D., LLC
• Anthony Declerico, PHARM D
• Melissa Monica Degregorio, MCD, MCPD
• Ximena Delgadillo Ayala
• William J Deliberis, DPM
• John Michael Delloso Jr., PTA
• Dinuli Hashangani Delpachitra, MD
• Delsea Drive Supermarket, LLC (Shoprite Pharmacy)

• Anesthesiology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.

Verify at the official NPI Registry.