Physician Compare National (NPI:1770684169)

HEALTHCARE PROVIDER: RAYMOND A ADELIZZI DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770684169
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406884972
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050727000532
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADELIZZI
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	RHEUMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	RHEUMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	215 E LAUREL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	STRATFORD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080841361
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8567829757
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310086
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JEFFERSON STRATFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310022
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VIRTUA WEST JERSEY HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390223
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PENN PRESBYTERIAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310032
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y