Active NPI
Eric J Delaura, D.O.
- Vascular & Interventional Radiology Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 25MB07747200
- Practice address
- 1050 Galloping Hill Rd Ste 102
Union, NJ 07083-7980 - Phone
- (908) 686-1350
- Fax
- (908) 686-1382
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 232519 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MB07747200 | NJ | Primary |
Addresses
Primary practice location
1050 Galloping Hill Rd Ste 102
Union, NJ 07083-7980
Mailing address
40 Valley Stream Pkwy Ste 100
Attn: Credentialing Dept.
Malvern, PA 19355-1407
Phone (610) 644-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167215 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051026000124 | NY | Practitioner - Diagnostic Radiology | 0244257608 | Reassigns benefits to 2 organizations |
| I20080920000025 | NJ | Practitioner - Interventional Radiology | 0244257608 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Jersey Interventional Associates, LLC
Practice addresses (Care Compare)
1050 Galloping Hill Rd
Suite 206
Union, NJ 07083-7980
Phone (906) 686-1350
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.94
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232519 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| New Jersey Interventional Associates, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Access Care Physicians of NJ LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| New Jersey Interventional Associates LLC | Past | Accepting new patients | |
| Goethals Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Verrazano Radiology Asociates, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2401 Morris Ave
Ste W111
Union, NJ 07083
Phone (908) 686-1350
1050 Galloping Hill Rd
Ste 206
Union, NJ 07083
Phone (906) 686-1350
1050 Galloping Hill Rd
Ste 102
Union, NJ 07083
Phone (908) 686-0123
1225 McBride Ave
Ste 117
Woodland Park, NJ 07424
Phone (732) 553-9729
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
1 Edgewater St
Fl 5
Staten Island, NY 10305
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508
40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355
Interoperability endpoints
- eric.delaura.p114@direct.aac.nextgenshare.com
- eric.delaura.p17@direct.aac.nextgenshare.com
Organizations & group practices 8
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.
-
- Vascular & Interventional Radiology Physician
- Union, NJ
- NPI 1629226428
NJ, Vascular & Interventional Radiology
-
- Vascular & Interventional Radiology Physician
- Woodland Park, NJ
- NPI 1649217787
NJ, Vascular & Interventional Radiology
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
NY
-
- Ambulatory Surgical Clinic/Center
- Union, NJ
- NPI 1255894051
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1962492546
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1417982539
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1720009574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 VALLEY STREAM PKWY STE 100",
"address_2": "ATTN: CREDENTIALING DEPT.",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551407",
"telephone_number": "610-644-8900",
"fax_number": "610-644-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 GALLOPING HILL RD STE 102",
"city": "UNION",
"state": "NJ",
"postal_code": "070837980",
"telephone_number": "908-686-1350",
"fax_number": "908-686-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAURA",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "232519",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "25MB07747200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167215",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
- 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.