KRISTEN JAYNE DELCALZO (MD) – Emergency Medicine Physician, NPI 1093464737

KRISTEN JAYNE DELCALZO (MD) is a healthcare provider. based in Newark, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA12639900 (NJ). The NPI Number for KRISTEN JAYNE DELCALZO (MD) is 1093464737

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN JAYNE DELCALZO (MD)
NPI
1093464737
Phone
(973) 926-7240
Address
201 Lyons Ave
Enumeration Date
21 March 2022
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095867900
Graduation Year
2022 (4 years ago)
PAC ID
4789171588
Group Practice PAC ID
0941612840
Professional Enrollment ID
I20251015002206
Address ID
NJ086903542HA1XXXXPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for KRISTEN JAYNE DELCALZO (MD)

  • 201 Lyons Ave

    Newark, NJ 071122027

    Phone: (973) 926-7240

    Type: Location

  • 201 LYONS AVE

    NEWARK, NJ 071122027

    Phone: (973) 926-7240

    Type: Mailing

  • 355 GRAND ST

    JERSEY CITY, NJ 073024321

    Phone: (201) 915-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251015002206IEmergency MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941612840View full group profile
NameSpecialtyState
Internal MedicineNY
Internal MedicinePA
Internal MedicineNJ
Emergency MedicineNY
Emergency MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Emergency MedicineNY
Internal MedicineWI
Emergency MedicineNJ

Reviews

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Frequently asked questions

Is KRISTEN JAYNE DELCALZO (MD) listed with a National Provider Identifier?
Yes — KRISTEN JAYNE DELCALZO (MD) has NPI 1093464737 on file in the registry.
Would KRISTEN JAYNE DELCALZO (MD) appear as active to a payer?
You can treat KRISTEN JAYNE DELCALZO (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KRISTEN JAYNE DELCALZO (MD)?
KRISTEN JAYNE DELCALZO (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN JAYNE DELCALZO (MD)?
Travel planning: use Newark, New Jersey as the reference point for KRISTEN JAYNE DELCALZO (MD), then confirm.
When was this NPI issued?
Enumeration for KRISTEN JAYNE DELCALZO (MD) is noted as March 21, 2022 where the registry provides it.

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