Active NPI
Barbara Light, DO
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1093776239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C2-0006575
- Practice address
- 4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072 - Phone
- (302) 368-8612
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C2-0006575 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Mailing address
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Phone (302) 368-8612
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180061 | Other | DE | COVENTRY HEALTH CARE |
| 7010364 | Other | DE | AETNA USHC |
| H72664 | Other | DE | MID ATLANTIC HEALTH CARE |
| 1425271 | Other | DE | AMERIHEALTH - PPO |
| 1000015432 | Medicaid | DE | |
| 1000015432 | Other | DE | DELAWARE PHYSICIANS CARE |
| 1000015432 | Other | DE | DIAMOND STATE HEALTH CARE |
| 615622-02 | Other | DE | BC/BS MD PCP # |
| 2110792000 | Other | DE | AMERIHEALTH - HMO |
| 262908 | Other | DE | MAMSI |
| H72664 | Other | DE | BC/BS DE PCP # |
| 2110792000 | Other | DE | KEYSTONE EAST HMO (SEE AM |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190123000715 | DE | Order and Referring Only - Pediatric Medicine | 5991042459 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0006575 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Pediatrics
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1093776239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C2-0006575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "180061",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "7010364",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC HEALTH CARE",
"identifier": "H72664",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH - PPO",
"identifier": "1425271",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000015432",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYSICIANS CARE",
"identifier": "1000015432",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE HEALTH CARE",
"identifier": "1000015432",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS MD PCP #",
"identifier": "615622-02",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH - HMO",
"identifier": "2110792000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "262908",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS DE PCP #",
"identifier": "H72664",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST HMO (SEE AM",
"identifier": "2110792000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.