Active NPI
Joseph Anthony Vitale, D.O.
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1285694943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 510110041
- Practice address
- 4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072 - Phone
- (302) 368-1562
- Fax
- (302) 368-8836
- NPI assigned
- Mar 27, 2006
- Last updated
- Mar 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 510110041 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Mailing address
4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072
Phone (302) 368-1562
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000059475 | Other | DE | INDEPENDENCE BLUE CROSS - |
| 44567 | Other | DE | COVENTRY HEALTH CARE |
| C48581 | Other | DE | MID-ATLANTIC |
| 0000022203 | Other | DE | DELAWARE PHYSICIANS CARE |
| K899 | Other | DE | BC/BS MD PCP # |
| 783F23 | Other | DE | BC/BS DE PCP # |
| 0000022203 | Medicaid | DE | |
| 0075294000 | Other | DE | AMERIHEALTH - HMO |
| 4285988 | Other | DE | AETNA USHC |
| 856327 | Other | DE | MAMSI PROVIDER # |
| 0000022203 | Other | DE | DIAMOND STATE HEALTH (DE |
| 0075294000 | Other | DE | 0075294000 |
| 059475 | Other | DE | AMERIHEALTH - PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510110041 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1285694943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-1562",
"fax_number": "302-368-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MAP 2 SUITE 1116",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-368-1562",
"fax_number": "302-368-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "510110041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS -",
"identifier": "000059475",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "44567",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID-ATLANTIC",
"identifier": "C48581",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYSICIANS CARE",
"identifier": "0000022203",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS MD PCP #",
"identifier": "K899",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS DE PCP #",
"identifier": "783F23",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000022203",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH - HMO",
"identifier": "0075294000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4285988",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER #",
"identifier": "856327",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE HEALTH (DE",
"identifier": "0000022203",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0075294000",
"identifier": "0075294000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH - PPO",
"identifier": "059475",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.