Individual provider Active NPI

Mark Stephen Trochimowicz, M.D.

  • Family Medicine Physician
  • New Castle, DE
National Provider Identifier
1447257498
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07769900 Issued in NJ
Practice address
400 South St
Suite 100
New Castle, DE 19720-5057
Phone
(302) 325-2309
Fax
(302) 325-6365
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07769900 NJ Primary

Addresses

Primary practice location

400 South St
Suite 100
New Castle, DE 19720-5057

Mailing address

400 South St
Suite 100
New Castle, DE 19720-5057
Phone (302) 325-2309

Other identifiers 2

IdentifierTypeStateIssuer
25MA07769900OtherNJNJ MEDICAL LICENSE NUMBER
P00470699OtherRAILROAD MEDICARE PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000722 DE Practitioner - Family PracticePractitioner - Geriatric Medicine 4587624382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Christiana Care Health Initiatives CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Sep 15, 2010 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 15, 2010 Accepting new patients
Christiana Care Health Initiatives Family Medicine Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Intellihealth, Inc. PastSince Jan 20, 2004 Accepting new patients
Phoenix Housecall Associates of South Jersey PastSince May 1, 2013 Accepting new patients

Locations

400 South St
Ste 100
Historic New Castle, DE 19720
Phone (302) 320-5700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1447257498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH ST",
            "address_2": "SUITE 100",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197205057",
            "telephone_number": "302-325-2309",
            "fax_number": "302-325-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH ST",
            "address_2": "SUITE 100",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197205057",
            "telephone_number": "302-325-2309",
            "fax_number": "302-325-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCHIMOWICZ",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07769900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL LICENSE NUMBER",
            "identifier": "25MA07769900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00470699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.