Individual provider Active NPI

Mark John Delmauro, LSW

  • Social Worker
  • Morristown, NJ
National Provider Identifier
1386873628
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05446600 Issued in NJ
Practice address
95 Mount Kemble Ave
Morristown, NJ 07960-5155
Phone
(973) 971-4752
Fax
(973) 290-7614
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05446600 NJ Primary

Addresses

Primary practice location

95 Mount Kemble Ave
Morristown, NJ 07960-5155

Mailing address

95 Mt Kemble Ave
Morristown, NJ 07962-1978
Phone (973) 971-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 12, 2024 through Nov 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL05446600NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1386873628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MT KEMBLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621978",
            "telephone_number": "973-971-4752",
            "fax_number": "973-290-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-971-4752",
            "fax_number": "973-290-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMAURO",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05446600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.