Paul George Delle Donna
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Ridgefield, NJ
NPI 1740784651 · NPPES record last updated Oct 25, 2024
Key facts
- NPI
- 1740784651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 25MB11170800 (NJ)
- Practice address
- 900 Edgewater Ave
Ridgefield, NJ 07657-2431 - Phone
- (201) 832-7131
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Rowan University School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rwjbh Observation Associates LLC
Practice addresses (Care Compare)
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241014002805 | NJ | Practitioner - Critical Care (Intensivists) | 9335671494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11170800 | NJ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current |
Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB11170800 | NJ | Yes |
Addresses
Primary practice location
900 Edgewater Ave
Ridgefield, NJ 07657-2431
Mailing address
900 Edgewater Ave
Ridgefield, NJ 07657-2431
Phone (201) 832-7131
Other providers in Ridgefield, NJ
- Choice Medical
- Community Health Navigation Group LLC
- Robert D'Emidio
- Daniel D. Kim, D.D.S., LLC
- Caryn Dayola
- Dr Hong S Pak MD LLC
- Marc Mesrob Egazarian
- Elite Care Support Services
- Ephatha Mental Health Associates PC
- Michael Errichiello
All providers in Ridgefield, NJ · Critical Care Medicine (Internal Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.