Claude L. Delaverdac, D.O, F.A.C.P.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB02500100 Issued in NJ

Practice address

310 Chris Gaupp Dr
Suite 102
Galloway, NJ 08205-4461

Phone

(609) 652-9933

Fax

(609) 652-9955

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Atlanticare Physician Group, PA

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1851438675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E SIMSBURY CT",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053032",
            "telephone_number": "609-652-9933",
            "fax_number": "609-652-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR",
            "address_2": "SUITE 102",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-9933",
            "fax_number": "609-652-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAVERDAC",
        "first_name": "CLAUDE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O, F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB02500100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivekkumar V Dasondi, MD
• Andrea Monique Davis, LCSW
• Daystar Community Volunteer Services
• Dbowker Counseling LLC
• Deborah S Smith PSYD LLC
• Priscilla Dawn Delizza
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Cassandra Marie Dennis, ATC, LAT
• Donna Lynn Depamphilis-McAllister

• Internal Medicine Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.