Active NPI
John V. Fenice, M.D.
- Family Medicine Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0007714
- Practice address
- 2601 Annand Dr
Suite 4
Wilmington, DE 19808-3719 - Phone
- (302) 998-3334
- Fax
- (302) 998-8985
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA79983 | NJ | |
| Family Medicine Physician | 207Q00000X | C1-0007714 | DE | Primary |
Addresses
Primary practice location
2601 Annand Dr
Suite 4
Wilmington, DE 19808-3719
Mailing address
2601 Annand Dr
Suite 4
Wilmington, DE 19808-3719
Phone (302) 998-3334
Other practice location 1
1114 S DuPont Hwy
Dover, DE 19901-4401
Phone (833) 886-2277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222137644 | Other | NJ | BCBSNJ |
| 900000011100 | Other | NJ | AMERICHOICE |
| 222137644 | Other | NJ | CHAMPUS/TRICARE |
| 0091111 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2601 Annand Dr
Wilmington, DE 19808-3719
Phone (302) 998-3334
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA79983 | NJ | MD | Emergency Medicine Physician |
| C1-0007714 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Recovery Center of Prices Corner | Current | Accepting new patients | |
| Img Associates LLC | Current | Accepting new patients | |
| Heritage Medical Associates, P.a. | Family Medicine | Current | Accepting new patients |
| Connections Community Support Programs, Inc. | Family Medicine | Past | Accepting new patients |
| Eps Billing, LLC | Past | Accepting new patients | |
| Emergency Physician Services LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2601 Annand Dr
Ste 4
Wilmington, DE 19808
Phone (302) 998-3334
1812 Newport Gap Pike
Wilmington, DE 19808
Phone (302) 500-5997
701 Foulk Rd
Ste 2E
Wilmington, DE 19803
Phone (302) 765-2345
10996 Four Seasons Pl
Ste 100A
Crown Point, IN 46307
Phone (219) 213-2380
1100 Business Pkwy S
Ste 1
Westminster, MD 21157
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1e751165-d0f5-47ed-aa9b-1a8abb55d1d6/
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1609073493
-
dba Lotus Recovery Centers of Prices Corner
- Methadone Clinic
- Wilmington, DE
- NPI 1467045567
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wilmington, DE
- NPI 1689733792
Family Medicine
-
- Emergency Medicine Physician
- Woodbury, NJ
- NPI 1588699581
-
- Physician Assistant
- Woodbury, NJ
- NPI 1568497543
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
- Home Health Agency
- Wilmington, DE
- NPI 1245277219
-
- Home Health Agency
- Newark, DE
- NPI 1366473969
-
dba BAYADA Pediatrics
- Home Health Agency
- New Castle, DE
- NPI 1447281043
-
- Home Health Agency
- Wilmington, DE
- NPI 1821029422
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1295738896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1033138169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 ANNAND DR",
"address_2": "SUITE 4",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083719",
"telephone_number": "302-998-3334",
"fax_number": "302-998-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 ANNAND DR",
"address_2": "SUITE 4",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083719",
"telephone_number": "302-998-3334",
"fax_number": "302-998-8985"
}
],
"practiceLocations": [
{
"address_1": "1114 S DuPont Hwy",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199014401",
"country_code": "US",
"telephone_number": "833-886-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENICE",
"first_name": "JOHN",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MA79983",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0007714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNJ",
"identifier": "222137644",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "900000011100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "222137644",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091111",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.