Apico Pain Management, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

APICO PAIN MANAGEMENT, LLC

Practice address

100 Becks Woods Dr Ste 201
Bear, DE 19701-3835

Phone

(855) 932-7426

Fax

(833) 392-7426

NPI assigned

Mar 31, 2022

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rany Talal Abdallah, MD, PHD, MBANPI 1679884977

Title

President

Phone

(855) 932-7426

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DE2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Apico Pain Management, LLC

  • Pain Medicine Physician
  • Milford, DE
  • NPI 1316839830

  7810374956

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJJGCD

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Apico Pain Management, LLC

  • Pain Medicine Physician
  • Milford, DE
  • NPI 1316839830
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rany Talal Abdallah, MD, PHD, MBA

  • Pain Medicine Physician
  • Bear, DE
  • NPI 1679884977

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Trisha Lynn Mangano, D.C.

  • Chiropractor
  • Milford, DE
  • NPI 1447203534
  Medicare reassignment Care Compare group NPD
• Sonia E Palermo, NP

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1578700472
  Medicare reassignment Care Compare group NPD
• Maryum Rafique, DO

  • Physical Medicine & Rehabilitation Physician
  • Bear, DE
  • NPI 1538328869

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Sheniqua C Coleman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1356743231

  DE

  Medicare reassignment Care Compare group NPD
• Erica Abdallah, PA

  • Physician Assistant
  • Wilmington, DE
  • NPI 1316042211
  Medicare reassignment Care Compare group
• Ann Maresca, PA C

  • Medical Physician Assistant
  • Wall Township, NJ
  • NPI 1346333879

  DE

  Medicare reassignment Care Compare group
• Rachael Ofili, NP-C

  • Primary Care Nurse Practitioner
  • Newark, DE
  • NPI 1194498014
  Medicare reassignment NPD
• Julia Siyao Yu

  • Physician Assistant
  • Wilmington, DE
  • NPI 1326647488
  Medicare reassignment

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114667714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BECKS WOODS DR STE 201",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013835",
            "telephone_number": "855-932-7426",
            "fax_number": "833-392-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BECKS WOODS DR STE 201",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013835",
            "telephone_number": "855-932-7426",
            "fax_number": "833-392-7426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Kings Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581772",
            "country_code": "US",
            "telephone_number": "855-932-7426",
            "fax_number": "833-392-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Banning St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043487",
            "country_code": "US",
            "telephone_number": "855-932-7426",
            "fax_number": "833-392-7426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APICO PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "RANY",
        "authorized_official_middle_name": "TALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-932-7426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Bear, DE
• Providers in Bear, DE by specialty
• Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.