Organization Active NPI

Marita Fallorina LLC Fallorina Marita M Single Member

  • Family Medicine Physician
  • New Castle, DE
National Provider Identifier
1053417642
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10000755 Issued in DE
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

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Marita Mapua Fallorina, MDNPI 1417918897
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C10000755 DE Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
48401MedicaidDE

Other names 1

  • Marita M Fallorina MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000242 DE Part B Supplier - Clinic/Group Practice 7719164656 Receives reassigned benefits from 1 practitioner
Practice locations: New Castle, DE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.