Individual provider Active NPI

Eric J Delaura, D.O.

  • Vascular & Interventional Radiology Physician
  • Union, NJ
National Provider Identifier
1720009574
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MB07747200 Issued in NJ
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

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0167215MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051026000124 NY Practitioner - Diagnostic Radiology 0244257608 Reassigns benefits to 2 organizations
I20080920000025 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0244257608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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, LLCGroup PAC ID 2062575426, 5 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
232519NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Apr 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 9, 2015 Accepting new patients
New Jersey Interventional Associates, LLC Vascular & Interventional Radiology CurrentSince Oct 15, 2008 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 9, 2015 Accepting new patients
Access Care Physicians of NJ LLC Vascular & Interventional Radiology CurrentSince Jul 1, 2008 Accepting new patients
New Jersey Interventional Associates LLC PastSince May 10, 2020 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

  • Direct secure messaging: eric.delaura.p114@direct.aac.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.