Provider Demographics
NPI:1922032770
Name:DELPIANO, ANTHONY GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:GERARD
Last Name:DELPIANO
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 1:24 DRINKING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2800
Mailing Address - Country:US
Mailing Address - Phone:732-274-3361
Mailing Address - Fax:201-499-0248
Practice Address - Street 1:600 PAVONIA AVE
Practice Address - Street 2:2ND FLOOR SUITE C
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-216-3040
Practice Address - Fax:201-499-0248
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05084500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5036402Medicaid
NJ469306Medicare ID - Type Unspecified
NJ5036402Medicaid