Individual provider Active NPI

Nicholas Oliver Biasotto, DO

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1164458485
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0002000 Issued in 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
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C2-0002000 DE Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000461 DE Practitioner - Family Practice 4789726381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas O Biasotto DO PA Family Medicine CurrentSince Oct 13, 1981 Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 205
Newark, DE 19713
Phone (302) 998-1211

Interoperability endpoints

  • Direct secure messaging: nicholasbiasotto@nbdo.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1164458485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON-CHRISTIANA RD,",
            "address_2": "STE 205",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-998-1284",
            "fax_number": "302-998-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON-CHRISTIANA RD,",
            "address_2": "STE 205",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-998-1284",
            "fax_number": "302-998-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIASOTTO",
        "first_name": "NICHOLAS",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0002000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.