Active NPI
Mario James Del Valle, DO
- Adult Medicine Physician
- Bridgewater, NJ
National Provider Identifier
1972698421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 25MB08154000
- Practice address
- 55 Corporate Dr
Mail Stop 55C-B100A
Bridgewater, NJ 08807-1265 - Phone
- (908) 981-6925
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 25MB08154000 | NJ | Primary |
Addresses
Primary practice location
55 Corporate Dr
Mail Stop 55C-B100A
Bridgewater, NJ 08807-1265
Mailing address
55 Corporate Dr
Bridgewater, NJ 08807-1265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1972698421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CORPORATE DR",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CORPORATE DR",
"address_2": "MAIL STOP 55C-B100A",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071265",
"telephone_number": "908-981-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "MARIO",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NJ",
"license": "25MB08154000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.