Individual provider Active NPI

Patrick Sallay Massaquoi, N.P.

  • Family Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1457788036
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000692 Issued in DE
Practice address
124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone
(302) 623-0188
Fax
(302) 322-6251
NPI assigned
Sep 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000692 DE
Family Nurse Practitioner 363LF0000X LG-0000692 DE Primary

Addresses

Primary practice location

124 Sleepy Hollow Dr
Middletown, DE 19709-5838

Mailing address

124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone (302) 652-2455

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
I20140221000161 DE Practitioner - Nurse Practitioner 1153551023 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Quality Partners 96 clinicians
Responsive Medical LLC 5 clinicians

Practice addresses (Care Compare)

1 Chestnut Hill PLZ
Suite C
Newark, DE 19713-2761
Phone (302) 455-2730

1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

25935 Plaza Dr
Millsboro, DE 19966-6289
Phone (302) 947-4111

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

379 Walmart Dr
Camden, DE 19934-1365
Phone (302) 387-4343

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000692DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. Current Accepting new patients
Responsive Medical LLC CurrentSince Mar 1, 2021 Accepting new patients
Responsive Health LLC CurrentSince Mar 1, 2021 Accepting new patients
Christiana Care Quality Partners CurrentSince Feb 15, 2020 Accepting new patients
Apogee Medical Group, Delaware, Inc CurrentSince Jul 20, 2014 Accepting new patients
Westside Family Healthcare, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

1011 E Songsmith Dr
Bear, DE 19701
Phone (302) 918-7501

379 Walmart Dr
Camden, DE 19934
Phone (302) 387-4343

379 Walmart Dr
Ste 101
Camden, DE 19934
Phone (302) 698-4441

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

1309 Savannah Rd
Lewes, DE 19958
Phone (302) 572-1074

124 Sleepy Hollow Dr
Middletown, DE 19709
Phone (302) 449-3030

25935 Plaza Dr
Millsboro, DE 19966
Phone (302) 373-5366

234 New Castle Ave
New Castle, DE 19720
Phone (302) 261-6343

550 S College Ave
Ste 115
Newark, DE 19713
Phone (302) 273-0727

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

100 S Main St
Ste 101
Smyrna, DE 19977
Phone (302) 623-7424

360 Buckley Mill Rd
Ste B
Wilmington, DE 19807
Phone (302) 299-1001

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

2305 Concord Pike
Wilmington, DE 19803
Phone (302) 467-3588

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

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

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

Interoperability endpoints

  • Direct secure messaging: patrick.massaquoi@ghuccc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1457788036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-623-0188",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAQUOI",
        "first_name": "PATRICK",
        "middle_name": "SALLAY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000692",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.