Provider Demographics
NPI:1851442206
Name:DELMAESTRO, STEVEN RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RICHARD
Last Name:DELMAESTRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 ELIZABETH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5111
Mailing Address - Country:US
Mailing Address - Phone:908-685-2526
Mailing Address - Fax:908-685-2527
Practice Address - Street 1:454 ELIZABETH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5111
Practice Address - Country:US
Practice Address - Phone:908-685-2526
Practice Address - Fax:908-685-2527
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO4924500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ540404Medicare PIN
NJE40258Medicare UPIN
NJE40258Medicare UPIN