Organization Active NPI

Mid-Atlantic Pain Institute, P.a.

Doing business as Mid Atlantic Spine

  • Interventional Pain Medicine Physician
  • Newark, DE
National Provider Identifier
1487718763
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C10004539 Issued in DE
Legal business name
MID-ATLANTIC PAIN INSTITUTE, P.A.
Doing business as
Mid Atlantic Spine
Practice address
100 Biddle Ave
Suite 101
Newark, DE 19702
Phone
(302) 392-6501
Fax
(302) 392-3380
NPI assigned
Dec 20, 2006
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Frank John Falco, MD
Title
Medical Director
Phone
(302) 392-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X C10004539 DE Primary

Addresses

Primary practice location

100 Biddle Ave
Suite 101
Newark, DE 19702

Mailing address

100 Biddle Ave
Suite 101
Newark, DE 19702-3981
Phone (302) 392-6501

Other identifiers 2

IdentifierTypeStateIssuer
001097202MedicaidDE
416853002OtherDEMEDICARE-NSC

Other names 1

  • Mid Atlantic Spine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1487718763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIDDLE AVE",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023981",
            "telephone_number": "302-392-6501",
            "fax_number": "302-392-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BIDDLE AVE",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-392-6501",
            "fax_number": "302-392-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PAIN INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-392-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C10004539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001097202",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-NSC",
            "identifier": "416853002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Atlantic Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2018; 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.