Individual provider Active NPI

Stephen Michael Pistoia Jr., PA-C

  • Medical Physician Assistant
  • Lewes, DE
National Provider Identifier
1003575457
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
750 Kings Hwy Ste 110
Lewes, DE 19958-1772
Phone
(302) 644-6400
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

750 Kings Hwy Ste 110
Lewes, DE 19958-1772

Mailing address

34031 Sandcastle Dr N
Millsboro, DE 19966-6009
Phone (609) 929-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102002627 NJ Practitioner - Physician Assistant 4486021508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Henlopen Dermatology, P.a. CurrentSince Aug 11, 2024 Accepting new patients

Locations

750 Kings Hwy
Ste 110
Lewes, DE 19958
Phone (302) 644-6400

Interoperability endpoints

  • Direct secure messaging: stephen@capederm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1003575457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34031 SANDCASTLE DR N",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666009",
            "telephone_number": "609-929-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY STE 110",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-644-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTOIA",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.