ENT & Allergy Center, P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C20003456 Issued in DE

Legal business name

ENT & ALLERGY CENTER, P.A.

Practice address

8468 Herring Run Rd
Seaford, DE 19973-5763

Phone

(302) 629-3400

Fax

(302) 629-5300

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Claude J Dimarco, DONPI 1386727097

Title

Physician/Owner

Phone

(302) 629-3400

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/bde9959c-b44e-4698-a1d4-e1ee4cc98a86/

Practitioners 2

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

• Claude J Dimarco, DO

  • Otolaryngology Physician
  • Seaford, DE
  • NPI 1386727097
  Medicare reassignment NPD Authorized official
• Beth Ann Rossi, PA-C

  • Medical Physician Assistant
  • Seaford, DE
  • NPI 1023256955
  Medicare reassignment

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1255414967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735763",
            "telephone_number": "302-629-3400",
            "fax_number": "302-629-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735763",
            "telephone_number": "302-629-3400",
            "fax_number": "302-629-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT & ALLERGY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-629-3400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C20003456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2028329000",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001157304",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "001157304",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040016600",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00A820E83",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E70145",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Otolaryngology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.