Individual provider Active NPI

Jorge Luis Delgado, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1730227141
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA02894200 Issued in NJ
Practice address
114 Elmora Ave
Elizabeth, NJ 07202
Phone
(908) 355-6122
Fax
(908) 355-9097
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA02894200 NJ Primary
Gastroenterology Physician 207RG0100X 25MA02894200 NJ

Addresses

Primary practice location

114 Elmora Ave
Elizabeth, NJ 07202

Mailing address

PO Box 2513
Elizabeth, NJ 07207
Phone (908) 355-6122

Other identifiers 3

IdentifierTypeStateIssuer
01475187CMedicaidNJ
24A83OtherEMPIRE BLUE CROSS BS
00K00594OtherHEALTH NET

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
I20120222000369 NJ Practitioner - Internal MedicinePractitioner - Gastroenterology 3375701360 Practice locations: Elizabeth, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 Elmora Ave
Elizabeth, NJ 07202-1615
Phone (908) 355-6122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

Hospital & facility affiliations 4

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730227141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2513",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-355-6122",
            "fax_number": "908-355-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-355-6122",
            "fax_number": "908-355-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA02894200",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA02894200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475187C",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BS",
            "identifier": "24A83",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "00K00594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.