Active NPI
Marita Fallorina LLC Fallorina Marita M Single Member
- Family Medicine Physician
- New Castle, DE
National Provider Identifier
1053417642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C10000755
- Legal business name
- MARITA FALLORINA LLC FALLORINA MARITA M SINGLE MEMBER
- Practice address
- 1 Catherine St
Ste 1
New Castle, DE 19720-3001 - Phone
- (302) 322-6847
- Fax
- (302) 322-6909
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marita Mapua Fallorina, MD
- Title
- Physician
- Phone
- (302) 322-6847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C10000755 | DE | Primary |
| Pediatrics Physician | 208000000X | C10000755 | DE |
Addresses
Primary practice location
1 Catherine St
Ste 1
New Castle, DE 19720-3001
Mailing address
1 Catherine St
Ste 1
New Castle, DE 19720-3001
Phone (302) 322-6847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48401 | Medicaid | DE |
Other names 1
- Marita M Fallorina MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Catherine St
Ste 1
New Castle, DE 19720
Phone (302) 322-6847
1 Catherine St
#1
New Castle, DE 19720
Phone (302) 322-6847
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- New Castle, DE
- NPI 1417918897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293062400000",
"number": "1053417642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CATHERINE ST",
"address_2": "STE 1",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203001",
"telephone_number": "302-322-6847",
"fax_number": "302-322-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CATHERINE ST",
"address_2": "STE 1",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203001",
"telephone_number": "302-322-6847",
"fax_number": "302-322-6909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARITA FALLORINA LLC FALLORINA MARITA M SINGLE MEMBER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2010-12-23",
"status": "A",
"authorized_official_last_name": "FALLORINA",
"authorized_official_first_name": "MARITA",
"authorized_official_middle_name": "MAPUA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "302-322-6847",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DE",
"license": "C10000755",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "DE",
"license": "C10000755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48401",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marita M Fallorina MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.