Individual provider Active NPI

Pamela S Manzi, PAC

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1427021906
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50000197 Issued in DE
Practice address
4755 Ogletown Stanton Road
Newark, DE 19718
Phone
(302) 733-1000
Fax
(302) 733-1633
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C50000197 DE Primary
Emergency Medicine Physician 207P00000X C5-0000197 DE

Addresses

Primary practice location

4755 Ogletown Stanton Road
Newark, DE 19718

Mailing address

PO Box 3048
Wilmington, DE 19804
Phone (302) 224-5678

Other identifiers 1

IdentifierTypeStateIssuer
1000035274MedicaidDE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000616 DE Practitioner - Physician Assistant 7618043993 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

15 S Dupont Hwy
Dover, DE 19901-7430
Phone (302) 857-0876

200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Feb 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc. Emergency Medicine CurrentSince Feb 28, 2018 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

Interoperability endpoints

  • Direct secure messaging: pamela.manzi@ghuccc.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1427021906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3048",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19804",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-1000",
            "fax_number": "302-733-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZI",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000197",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C5-0000197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035274",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.