DR. ANTHONY DELFICO (NPI# 1275535379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275535379 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY DELFICO |
| Credential | M.D. |
| Practice Address |
85 S Maple Ave Ridgewood NJ 07450-4561 |
| Practice Telephone | 2014452830 |
| Practice Fax Number | 2014457471 |
| Mailing Telephone | 2014452830 |
| Mailing Fax Number | 2014457471 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 25MA05949400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MA05949400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA HMO ID # | 1039889 | 01 |
| NJ | RR MDCR # | 200032948 | 01 |
| NJ | AETNA PPO ID # | 5195618 | 01 |
| NJ | EMPIRE BC/BS OF NY ID # | 81G221 | 01 |
| NJ | OXFORD ID # | P1094584 | 01 |
| Street Address |
85 S MAPLE AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233634 | Arnold Criscitiello | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450 | 2005-05-31 |
| 1720692387 | Brett Ploshnick | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-09-01 |
| 1285245811 | Jessica I Deleon | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-17 |
| 1023629854 | Ammar Mustafa | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-14 |
| 1417508391 | Nirali Patel | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2019-09-23 |
| 1053888362 | Diana S Cronenberg | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-10-25 |
| 1962986703 | Nerricka Nalundasan | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-09-18 |
| 1336625623 | Victoria Rodriguez | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-07-19 |
| 1083109474 | Sydney Denault | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-06-27 |
| 1033628656 | Chelsea J. Mcclure | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.