Active NPI
Patrick Sallay Massaquoi, N.P.
- Family Nurse Practitioner
- Middletown, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000692
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PartnersResponsive Medical LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000692 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Responsive Medical LLC | Current | Accepting new patients | |
| Responsive Health LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Current | Accepting new patients | |
| Apogee Medical Group, Delaware, Inc | Current | Accepting new patients | |
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
DE
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.