Infectious Disease Associates PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASE ASSOCIATES PA

Practice address

78 Omega Dr BLDG C
Newark, DE 19713-2064

Phone

(302) 368-2883

Fax

(302) 368-2892

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Bacon, M.D.NPI 1902967508

Title

Practice Owner

Phone

(302) 368-2883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: kristenfacciolo@ida.allscriptsdirect.net
• Direct secure messaging: williammazur@ida.allscriptsdirect.net
• Direct secure messaging: johnpiper@ida.allscriptsdirect.net
• Direct secure messaging: davidcohen@ida.allscriptsdirect.net
• Direct secure messaging: davidbergamo@ida.allscriptsdirect.net
• Direct secure messaging: michellebell@ida.allscriptsdirect.net
• Direct secure messaging: jacintahollinger@ida.allscriptsdirect.net
• Direct secure messaging: alfredbacon@ida.allscriptsdirect.net

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred E Bacon III, MD

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1902967508

  DE

  Medicare reassignment Care Compare group Authorized official
• Pamela Bailey

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1730509829

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• David M Cohen, M.D.

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1306907902

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• Kristen Leigh Facciolo

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1487914834

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• Stephanie A Lee, MD

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1912068529

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• Angela J Oates, M.D,

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1447437868

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• Harry Eric Rockower, MD

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1508429762

  DE, Infectious Disease

  Medicare reassignment Care Compare group NPD
• Michelle Kathleen Bell, P.A.-C

  • Physician Assistant
  • Newark, DE
  • NPI 1508112608

  DE

  Medicare reassignment Care Compare group
• Tara Marie Frye, PA-C

  • Medical Physician Assistant
  • Newark, DE
  • NPI 1417575549

  DE

  Medicare reassignment Care Compare group
• Jacinta Hollinger, PA-C

  • Medical Physician Assistant
  • Newark, DE
  • NPI 1457702177

  DE

  Medicare reassignment Care Compare group
• John P Piper, M.D.

  • Infectious Disease Physician
  • Newark, DE
  • NPI 1083775654

  DE

  Medicare reassignment Care Compare group
• Kathryn Provonche, PA

  • Physician Assistant
  • Newark, DE
  • NPI 1790236644

  DE

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1205904679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "302-368-2883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000350102",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Newark, DE
• Infectious Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.