DR. MIGUEL L. DELEON (NPI# 1104875400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104875400 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL L. DELEON |
| Credential | M.D. |
| Practice Address |
1935 Route 70 E Cherry Hill NJ 08003-2117 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8564287700 |
| Practice Fax Number | 8564249120 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MA04250400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 25MA04250400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2200406 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Brace Rd Ste H, Cherry Hill, NJ 080342600 | 8564287700 | 8563418394 |
| 570 Egg Harbor Rd Ste B1, Sewell, NJ 080802359 | 8564287700 | 8563418394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465190 | Miguel Deleon | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-04-11 |
| 1306376264 | Miguel Deleon | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-14 |
| 1194997544 | Miguel Luis Deleon | Nurse Practitioner | Hhc 121st General Hospital, Box 675, Apo, KOREA AP | 2008-03-26 |
| Street Address |
1935 ROUTE 70 E |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926946 | Surgical Group of South Jersey, P.a. | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2006-05-05 |
| 1194185751 | Karol Meyermann | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2016-02-25 |
| 1811354376 | Alyssa Hoover | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2016-01-28 |
| 1083040257 | Bryan Quaile | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2013-09-19 |
| 1720300478 | Patricia Ann Koper | Nurse Practitioner | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2010-02-23 |
| 1508098443 | Alexandra Cimoch | Physical Therapist | 1935 Route 70 E, Cherry Hill, NJ 08003 | 2009-08-11 |
| 1225283476 | Sandrine N. Martin | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003 | 2008-12-01 |
| 1609024447 | Michael D Lieb | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2008-09-05 |
| 1184811945 | Virtua Surgical Group, P.a | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2007-09-26 |
| 1285834655 | Yury Bak | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124244637 | Khaled Iqbal El-badawi | Colon & Rectal Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911356 | Matthew David Huk | Colon & Rectal Surgery | 435 South St Ste 360, Morristown, NJ 07960-6479 | 2011-07-07 |
| 1598055824 | Gregory J Gallina Md PC | Colon & Rectal Surgery | 255 West Spring Valley Ave., # 103, Maywood, NJ 07607-1444 | 2011-04-07 |
| 1083829840 | Raymond Frederick Crystal | Colon & Rectal Surgery | 325 Long Hill Dr, Short Hills, NJ 07078-1530 | 2007-05-14 |
| 1932260015 | Ralph B Korkor | Colon & Rectal Surgery | 994 White Horse Ave, Hamilton Medical Building, Hamilton, NJ 08610-1428 | 2006-12-13 |
| 1952477986 | Debra R Tarantino | Colon & Rectal Surgery | 231 Millburn Avenue, Millburn, NJ 07041-1718 | 2006-11-28 |
| 1801909007 | Ocean Colon and Rectal Surgery, P.a. | Colon & Rectal Surgery | 1163 Route 37 W Ste D2, Toms River, NJ 08755-4975 | 2006-08-15 |
| 1609892231 | Barash-white, Md, Pa | Colon & Rectal Surgery | 216 Engle St. #203, Englewood, NJ 07631 | 2006-07-15 |
| 1871539858 | Daniel Lee Sadler | Colon & Rectal Surgery | 704 Route 202 South, Bridgewater, NJ 08807 | 2006-06-20 |
| 1659315760 | Robert Eng Hong Khoo | Colon & Rectal Surgery | 44 Nautilus Dr Ste 201, Manahawkin, NJ 08050-2466 | 2006-06-16 |
| 1447217427 | Alfred Francis Wolkomir | Colon & Rectal Surgery | 205 Maple Ave, Red Bank, NJ 07701-1727 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
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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.