Active NPI
Diego Urdaneta, MD
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA11091000
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7000
- NPI assigned
- Jun 10, 2017
- Last updated
- May 28, 2025
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA11091000 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | MT214037 | PA |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000
Other practice location 1
136 Route 73 Ste C
Voorhees, NJ 08043-9598
Phone (856) 295-0240
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Drexel University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 85.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11091000 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| South Jersey Anesthesia and Pain Physicians PC | Anesthesiology | Current | Accepting new patients |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Past | Accepting new patients | |
| Summit Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Anesthesiology Physician
- Woodbury, NJ
- NPI 1700821352
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
dba Center for Advanced Surgery Excellence
- Ambulatory Surgical Clinic/Center
- Voorhees, NJ
- NPI 1093444010
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1821527060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MULLICA HILL RD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624413",
"telephone_number": "856-508-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7000"
}
],
"practiceLocations": [
{
"address_1": "136 Route 73 Ste C",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439598",
"country_code": "US",
"telephone_number": "856-295-0240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URDANETA",
"first_name": "DIEGO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-10",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA11091000",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT214037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.