William J Deliberis, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00123900 Issued in NJ

Practice address

2630 E Chestnut Ave
Suite D 2
Vineland, NJ 08361-8400

Phone

(856) 696-4759

Fax

(856) 696-4565

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1801898499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "address_2": "SUITE D 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618400",
            "telephone_number": "856-696-4759",
            "fax_number": "856-696-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "address_2": "SUITE D 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618400",
            "telephone_number": "856-696-4759",
            "fax_number": "856-696-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIBERIS",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00123900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Delsea Drive Supermarket, LLC
• Dilek S Delvers, M.D.
• Dendrinos Medical Associates, P.a.

• Primary Podiatric Medicine Podiatrist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.