Active NPI
Mayumi Lea Anthony-Gubitosi, ANP
- Adult Health Nurse Practitioner
- Newark, DE
National Provider Identifier
1467711952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- LB-0000249
- Practice address
- 774 Christiana Rd Ste 109
Newark, DE 19713-4248 - Phone
- (302) 444-8156
- Fax
- (302) 731-8158
- NPI assigned
- May 3, 2012
- Last updated
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LB-0000249 | DE | Primary |
Addresses
Primary practice location
774 Christiana Rd Ste 109
Newark, DE 19713-4248
Mailing address
774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone (302) 444-8156
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Endocrinology, PA | Current | Accepting new patients | |
| Regional Orthopaedic Associates PA | Past | Accepting new patients |
Locations
774 Christiana Rd
Ste 109
Newark, DE 19713
Phone (302) 444-8156
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Newark, DE
- NPI 1295009660
-
dba Delaware Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1700458874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1467711952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD STE 109",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134248",
"telephone_number": "302-444-8156",
"fax_number": "302-731-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD STE 109",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134248",
"telephone_number": "302-444-8156",
"fax_number": "302-731-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY-GUBITOSI",
"first_name": "MAYUMI",
"middle_name": "LEA",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LB-0000249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.