Individual provider Active NPI

Fernando J Delasotta, M.D.

  • Neurological Surgery Physician
  • Linwood, NJ
National Provider Identifier
1710051305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MA40035NJ Issued in NJ
Practice address
598 New Rd
Linwood, NJ 08221-1241
Phone
(609) 927-1000
Fax
(609) 653-6852
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Neurological Surgery Physician 207T00000X MA40035NJ NJ Primary

Addresses

Primary practice location

598 New Rd
Linwood, NJ 08221-1241

Mailing address

598 New Rd
P. O. Box 385
Linwood, NJ 08221-1241
Phone (609) 927-1000

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
I20050725000940 NJ Practitioner - Neurosurgery 4688611601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fernando Delasotta MD PAGroup PAC ID 3870530884, 2 clinicians

Practice addresses (Care Compare)

598 New Rd
Linwood, NJ 08221-1241
Phone (609) 927-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.35 of 100Reported as individual
Quality
98.22
Improvement activities
40
Cost
86.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion156
Laminectomy or laminotomy (partial removal of spine bones)84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA40035NJNJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando Delasotta MD PA Neurological Surgery CurrentSince Dec 15, 1985 Accepting new patients

Locations

222 New Rd
Linwood, NJ 08221
Phone (609) 653-4343

598 New Rd
Linwood, NJ 08221
Phone (609) 653-4359

Interoperability endpoints

  • Direct secure messaging: drdelasotta@fdmd.azalea.phimailbox.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710051305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 NEW RD",
            "address_2": "P. O. BOX 385",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211241",
            "telephone_number": "609-927-1000",
            "fax_number": "609-653-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211241",
            "telephone_number": "609-927-1000",
            "fax_number": "609-653-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELASOTTA",
        "first_name": "FERNANDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "MA40035NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.