William Fader, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0011708 Issued in DE

Practice address

701 Foulk Rd Ste 2E
Wilmington, DE 19803-3733

Phone

(302) 765-2345

Fax

(302) 691-7036

NPI assigned

Aug 9, 2021

Reactivated

Jul 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hearsay ENT Docs LLCGroup PAC ID 7113075490, 7 clinicians

Raphaele Todaro, MDGroup PAC ID 7517313158, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Raphaele Todaro, M.D.

  • Adult Medicine Physician
  • Wilmington, DE
  • NPI 1457507758
  Medicare reassignment Care Compare group NPD
• Hearsay ENT Docs LLC

  • Otolaryngology Physician
  • Media, PA
  • NPI 1962649780

  DE

  Medicare reassignment Care Compare group NPD
• Fader Medical Group LLC

  • Family Nurse Practitioner
  • Bear, DE
  • NPI 1710762430
  Medicare reassignment Authorized official
• Raphaele Todaro, MD

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1841245073
  Medicare reassignment
• Associates in Audiology of Chester County

  • Audiologist
  • Exton, PA
  • NPI 1730425000
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1497420855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ROSE HILL DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012398",
            "telephone_number": "302-897-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FOULK RD STE 2E",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033733",
            "telephone_number": "302-765-2345",
            "fax_number": "302-691-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADER",
        "first_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "deactivation_date": "2023-06-17",
        "reactivation_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Facciolo Orthodontics, LLC
• John Facciolo, DMD
• Joseph Thomas Facciolo, D.M.D.
• Raymond Facciolo Jr., DPT
• Heather C Fackelman
• Lynn M Fahey
• Fairfax Medical P.a.
• Debra Faith, RN
• Emelynn Joanne Fajardo, D.O.
• Olalekan David Falade, PHARM.D

• Family Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.

Verify at the official NPI Registry.