Individual provider Active NPI

Anael Destin Delice Jr., D.O.

  • Family Medicine Physician
  • Buena, NJ
National Provider Identifier
1851734669
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09347400 Issued in NJ
Practice address
761 S Harding Hwy
Buena, NJ 08310-9732
Phone
(856) 697-0001
Fax
(856) 697-0003
NPI assigned
Apr 10, 2013
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09347400 NJ Primary

Addresses

Primary practice location

761 S Harding Hwy
Buena, NJ 08310-9732

Mailing address

761 S Harding Hwy
Buena, NJ 08310-9732
Phone (856) 697-0111

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
I20140303000750 NJ Practitioner - Family Practice 9931339454 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Inspira SJ Urgent Care PCGroup PAC ID 0749566958, 29 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

3722 E Landis Ave
Suite Iandj
Vineland, NJ 08361-7926
Phone (856) 213-5900

761 S Harding Hwy
Buena, NJ 08310-9732
Phone (856) 697-0111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09347400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Nov 26, 2013 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Jan 12, 2019 Accepting new patients
Atlanticare Physician Group PA Family Medicine CurrentSince Nov 26, 2013 Accepting new patients
Inspira Health Network Urgent Care, P.C. CurrentSince Aug 11, 2024 Accepting new patients
Inspira SJ Urgent Care PC CurrentSince Apr 1, 2023 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Apr 1, 2023 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients

Locations

24 S South Carolina Ave
Atlantic City, NJ 08401
Phone (609) 345-6000

761 S Harding Hwy
Buena, NJ 08310
Phone (856) 697-0001

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

3722 E Landis Ave
Ste I
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Unit 1
Vineland, NJ 08361
Phone (856) 213-5900

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 7

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.

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1851734669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S HARDING HWY",
            "city": "BUENA",
            "state": "NJ",
            "postal_code": "083109732",
            "telephone_number": "856-697-0111",
            "fax_number": "856-697-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S HARDING HWY",
            "city": "BUENA",
            "state": "NJ",
            "postal_code": "083109732",
            "telephone_number": "856-697-0001",
            "fax_number": "856-697-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELICE",
        "first_name": "ANAEL",
        "middle_name": "DESTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09347400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena, NJ

Sources for this page

Verify at the official NPI Registry.