Jose Picazo MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0005063 Issued in DE

Legal business name

JOSE PICAZO MD PA

Practice address

600 Christiana Medical Ctr
Newark, DE 19702-1656

Phone

(302) 738-6535

Fax

(302) 738-6517

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Jose S Picazo, MDNPI 1689661928

Title

Owner/Doctor

Phone

(302) 738-6535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jose S Picazo, MD

  • Obstetrics & Gynecology Physician
  • Newark, DE
  • NPI 1689661928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1285924415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021656",
            "telephone_number": "302-738-6535",
            "fax_number": "302-738-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021656",
            "telephone_number": "302-738-6535",
            "fax_number": "302-738-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE PICAZO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "PICAZO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "302-738-6535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "0005063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000807001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark D Jones, MD
• Priscilla G Jordan
• Trisha K Jordan, MD
• Victoria Jordan
• Amalia R Jording, PA-C
• Joseph J Straight
• Joseph J. Thornton, MD, PA
• Dayle Joseph
• Rejy Joseph, MD
• Siobhan Joseph

• Obstetrics & Gynecology Physician in Newark, DE
• Providers in Newark, DE by specialty
• Obstetrics & Gynecology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.