Organization Active NPI

Pain Solution Centers of Delaware

  • Physical Disabilities Residential Treatment Facility
  • Newark, DE
National Provider Identifier
1568713832
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
C2-0010172 Issued in DE
Legal business name
PAIN SOLUTION CENTERS OF DELAWARE
Practice address
630 Churchmans Rd
Suite 109
Newark, DE 19702-1900
Phone
(215) 750-9600
Fax
(267) 332-0948
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Stephen F. Ficchi, D.O.
Title
Owner
Phone
(215) 750-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X OS3881L PA
Physical Disabilities Residential Treatment Facility 320700000X C2-0010172 DE Primary

Addresses

Primary practice location

630 Churchmans Rd
Suite 109
Newark, DE 19702-1900

Mailing address

PO Box 1006
Bensalem, PA 19020-5006
Phone (215) 750-9600

National Provider Directory

National Provider Directory

Locations

630 Churchmans Rd
Ste 109
Newark, DE 19702
Phone (215) 750-9600

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1568713832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205006",
            "telephone_number": "215-750-9600",
            "fax_number": "215-752-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHURCHMANS RD",
            "address_2": "SUITE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021900",
            "telephone_number": "215-750-9600",
            "fax_number": "267-332-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTION CENTERS OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "FICCHI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-750-9600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "PA",
            "license": "OS3881L",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "DE",
            "license": "C2-0010172",
            "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 Mar 26, 2015; 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.