NPIMap

Individual provider Active NPI

Glory Marie Razzi, PA-C

  • Physician Assistant
  • Hockessin, DE
National Provider Identifier
1467606699
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000649 Issued in DE
Practice address
316 Lantana Dr
Lantana Square Shopping Center
Hockessin, DE 19707-8807
Phone
(302) 234-4000
Fax
(302) 234-4315
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 C5-0000649 DE Primary
Medical Physician Assistant 363AM0700X MA053738 PA

Addresses

Primary practice location

316 Lantana Dr
Lantana Square Shopping Center
Hockessin, DE 19707-8807

Mailing address

316 Lantana Dr
Lantana Square Shopping Center
Hockessin, DE 19707-8807
Phone (302) 234-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0000649DEMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1467606699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LANTANA DR",
            "address_2": "LANTANA SQUARE SHOPPING CENTER",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078807",
            "telephone_number": "302-234-4000",
            "fax_number": "302-234-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 LANTANA DR",
            "address_2": "LANTANA SQUARE SHOPPING CENTER",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078807",
            "telephone_number": "302-234-4000",
            "fax_number": "302-234-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZI",
        "first_name": "GLORY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000649",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.