Individual provider Active NPI

Thomas Gerard Delia, DC

  • Chiropractor
  • Belleville, NJ
National Provider Identifier
1457423337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC01443 Issued in NJ
Practice address
387 Union Avenue
Belleville, NJ 07109-2127
Phone
(973) 751-5592
Fax
(973) 751-8849
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC01443 NJ Primary

Addresses

Primary practice location

387 Union Avenue
Belleville, NJ 07109-2127

Mailing address

387 Union Avenue
Belleville, NJ 07109-2127
Phone (973) 751-5592

Other identifiers 1

IdentifierTypeStateIssuer
1083805MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000364 NJ Practitioner - Chiropractic 2062694995 Practice locations: Belleville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

387 Union Ave
Belleville, NJ 07109-2127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC01443NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Belleville Chiropractic Center Chiropractor PastSince Jun 26, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457423337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 UNION AVENUE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092127",
            "telephone_number": "973-751-5592",
            "fax_number": "973-751-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 UNION AVENUE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092127",
            "telephone_number": "973-751-5592",
            "fax_number": "973-751-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIA",
        "first_name": "THOMAS",
        "middle_name": "GERARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC01443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.