Provider Demographics
NPI:1699986836
Name:NORTH MORRIS OBSTETRICAL GROUP PA
Entity type:Organization
Organization Name:NORTH MORRIS OBSTETRICAL GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:L
Authorized Official - Last Name:DELOTTO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-625-2222
Mailing Address - Street 1:66 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3500
Mailing Address - Country:US
Mailing Address - Phone:973-625-2222
Mailing Address - Fax:
Practice Address - Street 1:66 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3500
Practice Address - Country:US
Practice Address - Phone:973-625-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02214900207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1990608Medicaid
NJ527135OtherGROUP NUMBER
NJ527135OtherGROUP NUMBER
NJC61242Medicare UPIN