Provider Demographics
NPI:1619935160
Name:DELLAPI, ANDREW THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:THOMAS
Last Name:DELLAPI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:97 WEST PARKWAY
Mailing Address - Street 2:CHILTON EMERGENCY PHYSICIANS LLC
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444
Mailing Address - Country:US
Mailing Address - Phone:973-831-5445
Mailing Address - Fax:973-831-5443
Practice Address - Street 1:97 WEST PARKWAY
Practice Address - Street 2:CHILTON MEMORIAL HOSPITAL
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444
Practice Address - Country:US
Practice Address - Phone:973-831-5000
Practice Address - Fax:973-831-5443
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06529400207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7255900Medicaid
NJ903544Medicare ID - Type Unspecified
G47602Medicare UPIN