Dr Edmundo C De Vera, MD - Internal Medicine in West New York, NJ

Dr Edmundo C De Vera, MD is a Internal Medicine physician based in West New York, New Jersey. Dr Edmundo C De Vera is licensed to practice in New Jersey (license number MAO 61048) and his current practice location is 5301 Broadway, West New York, New Jersey. He can be reached at his office (for appointments etc.) via phone at (201) 866-9320.

NPI number for Dr Edmundo C De Vera is 1891752648 and his current mailing address is 211 W Elmwood Dr, South Plainfield, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891752648.

Contact Information

Dr Edmundo C De Vera, MD
5301 Broadway,
West New York, NJ 07093-2622
(201) 866-9320
Not Available



Physician's Profile

Full NameDr Edmundo C De Vera
GenderMale
SpecialityInternal Medicine
Location5301 Broadway, West New York, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891752648
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 03/14/2012

Medical Identifiers

Medical identifiers for Dr Edmundo C De Vera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891752648NPI-NPPES
6346502MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MAO 61048 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edmundo C De Vera is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Edmundo C De Vera, MD
211 W Elmwood Dr,
South Plainfield, NJ 07080-4914

Ph: (908) 755-9731
Dr Edmundo C De Vera, MD
5301 Broadway,
West New York, NJ 07093-2622

Ph: (201) 866-9320

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Internal Medicine Doctors in West New York, NJ

Dr. Hilda Rosa Roque-dieguez, M.D.
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Dr. Raffaele A Gibilisco, MD, PA
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Practice Location: 435 59th St, 1st Floor, West New York, NJ 07093
Phone: 201-295-1456    Fax: 201-295-0266

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