NESTOR JOSE MALDONADO M.D.
NPI 1982049789
Emergency Medicine in Philadelphia, PA
About Nestor Jose Maldonado M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NESTOR JOSE MALDONADO M.D. (NPI 1982049789) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA11188300) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nestor Jose Maldonado M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Nestor Maldonado reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Darby, PA 19023
- Reassigned Medicare billing, Pennsylvania enrollment
- 107 clinicians in this Medicare group
Haddon Township, NJ 08108
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 84 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 142 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 156 clinicians in this Medicare group
Plainfield, NJ 07060
- Reassigned Medicare billing, New Jersey enrollment
- 103 clinicians in this Medicare group
Summit, NJ 07901
- Reassigned Medicare billing, New Jersey enrollment
- 436 clinicians in this Medicare group
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Island Emergency Medical Services PC
- 290 clinicians in this Medicare group
Hanover, PA 17331
- Reassigned Medicare billing, Pennsylvania enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Jersey Hospital
Acute Care Hospitals · Voorhees, NJVirtua Our Lady Of Lourdes Hospital
Acute Care Hospitals · Camden, NJSt Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nestor Maldonado's NPI number?
The NPI number for Nestor Maldonado is 1982049789. It was assigned to this individual provider in the NPPES registry on May 7, 2013.
Where is Nestor Maldonado located?
Nestor Maldonado practices at 3400 Spruce Street Ground Silverstein Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-6698.
What is Nestor Maldonado's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nestor Maldonado enrolled in Medicare?
Yes. Nestor Maldonado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nestor Maldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Maldonado reassigns Medicare benefits to 10 organizations: University Of Penn-Medical Group (Philadelphia, PA), Cep America LLC (Darby, PA), Virtua Medical Group, PA (Haddon Township, NJ), Bayhealth Medical Center, Inc. (Dover, DE), Bayhealth Emergency Physicians LLC (Dover, DE) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nestor Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nestor Maldonado affiliated with any hospitals?
According to CMS data, Nestor Maldonado is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Nestor Maldonado was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nestor Jose Maldonado, M.D. · NPI 1982049789
Emergency Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 7, 2013.
## Identity
- **NPI:** 1982049789 (Entity type: Individual)
- **Enumerated:** May 7, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MA11188300 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-6698 · **Fax:** (215) 662-3953
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Cep America LLC (NPI 1891672150, Darby, PA); Virtua Medical Group, PA (NPI 1932659778, Haddon Township, NJ); Bayhealth Medical Center, Inc. (NPI 1679072144, Dover, DE); Bayhealth Emergency Physicians LLC (NPI 1073012696, Dover, DE); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2013
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982049789) · Data from the CMS NPPES public registry.