Individual provider Active NPI

John A Deleonardis, M.D.

  • Pediatrics Physician
  • Mullica Hill, NJ
National Provider Identifier
1992851984
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05586000 Issued in NJ
Practice address
8B High St
Mullica Hill, NJ 08062-9540
Phone
(856) 223-9355
Fax
(856) 223-1693
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05586000 NJ Primary

Addresses

Primary practice location

8B High St
Mullica Hill, NJ 08062-9540

Mailing address

8 High St
Suite 1 B
Mullica Hill, NJ 08062-9540
Phone (856) 223-9355

Other identifiers 1

IdentifierTypeStateIssuer
2060604MedicaidNJ

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
I20170426000444 NJ Practitioner - Pediatric Medicine 1850678095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05586000NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Pediatrics CurrentSince Apr 1, 2017 Accepting new patients
Community Health Care, Inc. CurrentSince Apr 1, 2017 Accepting new patients
The Cooper Health System Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

265 Irving Ave
Bridgeton, NJ 08302

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

785 W Sherman Ave
Vineland, NJ 08360

Interoperability endpoints

  • Direct secure messaging: john.deleonardis.p1@direct.cchn.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1992851984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIGH ST",
            "address_2": "SUITE 1 B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629540",
            "telephone_number": "856-223-9355",
            "fax_number": "856-223-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8B HIGH ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629540",
            "telephone_number": "856-223-9355",
            "fax_number": "856-223-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEONARDIS",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05586000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.