Individual provider Active NPI

Silvana Andrea Oberto, FNP APRN-CNP DNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1497935225
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000502 Issued in DE
Practice address
220 Continental Dr
Suite 407
Newark, DE 19713-4311
Phone
(302) 533-3800
Fax
(302) 533-3801
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011389 PA
Family Nurse Practitioner 363LF0000X LG-0000502 DE Primary

Addresses

Primary practice location

220 Continental Dr
Suite 407
Newark, DE 19713-4311

Mailing address

6400 Shafer CT Ste 300a
Rosemont, IL 60018-4914
Phone (346) 376-1702

Other identifiers 2

IdentifierTypeStateIssuer
1112217OtherHORIZON MERCY
9118802MedicaidNJ

Other names 1

  • Mrs. Silvana Andrea Poletaev Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160614002441 DE Practitioner - Nurse Practitioner 3173544798 Reassigns benefits to 1 organization
I20190307001241 PA Practitioner - Nurse Practitioner 3173544798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000502DEMDFamily Nurse Practitioner
SP011389PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Pennsylvania, P.C. CurrentSince Nov 11, 2018 Accepting new patients
Seasons Hospice & Palliative Care of Pennsylvania, LLC Past Accepting new patients
Medical Care Solutions, LLC Family PastSince Jan 1, 2002 Accepting new patients

Locations

2200 Renaissance Blvd
Ste 110
King of Prussia, PA 19406
Phone (610) 382-1800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1497935225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 300A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184914",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CONTINENTAL DR",
            "address_2": "SUITE 407",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134311",
            "telephone_number": "302-533-3800",
            "fax_number": "302-533-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERTO",
        "first_name": "SILVANA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "FNP    APRN-CNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1112217",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9118802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILVANA",
            "last_name": "POLETAEV",
            "middle_name": "ANDREA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.