Nicholas Oliver Biasotto, DO
Individual provider Active NPI Family Medicine Physician · Newark, DE
NPI 1164458485 · NPPES record last updated Nov 16, 2009
Key facts
- NPI
- 1164458485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C2-0002000 (DE)
- Practice address
- 620 Stanton-Christiana Rd,
Ste 205
Newark, DE 19713 - Phone
- (302) 998-1284
- Fax
- (302) 998-1267
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
620 Stanton Christiana Rd
Newark, DE 19713-2130
Hospital & facility affiliations
- Christianacare Homehealth
- Bayada Home Health Care, Inc
- Saint Francis Home Care
- Christiana Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000461 | DE | Practitioner - Family Practice | 4789726381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas O Biasotto DO PA | Family Medicine | Current |
Accepting new patients |
Locations
620 Stanton Christiana Rd
Ste 205
Newark, DE 19713
Phone (302) 998-1211
Interoperability endpoints
- nicholasbiasotto@nbdo.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0002000 | DE | Yes |
Addresses
Primary practice location
620 Stanton-Christiana Rd,
Ste 205
Newark, DE 19713
Mailing address
620 Stanton-Christiana Rd,
Ste 205
Newark, DE 19713
Phone (302) 998-1284
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000196003 | Medicaid | DE |
Other providers in Newark, DE
- Priyanka Bheemreddy
- Tony Bianchetta
- Natalie Kathleen Bianchi
- Jenna Rose Bianco
- Marylou Foster Biasotto
- Kahina Bibi
- Katie Biddle
- Marianne Biddle
- Christopher Douglas Biedrzycki
- Margaret Noel Bielic
All providers in Newark, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.