Individual provider Active NPI

Thomas Del Guercio, M.D.

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1699193060
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA11153500 Issued in NJ
Practice address
4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916
Phone
(718) 283-7687
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 25MA11153500 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916

Mailing address

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 616-6738

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811000294 NJ Practitioner - Pain Management 4486058609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

312 Applegarth Rd
Suite 1
Monroe, NJ 08831-5347
Phone (732) 720-2555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11153500NJMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Aug 15, 2021 Accepting new patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Aug 15, 2021 Accepting new patients

Locations

501 Iron Bridge Rd
Ste 1
Freehold, NJ 07728
Phone (732) 294-8999

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

312 Applegarth Rd
Ste 1
Monroe Township, NJ 08831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIEEAA
  • Direct secure messaging: tdelguercio425063@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1699193060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-616-6738",
            "fax_number": "732-720-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "MAIMONIDES MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL GUERCIO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA11153500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.