Nicholas O Biasotto DO PA
Organization Active NPI Family Medicine Physician · Newark, DE
NPI 1629401435 · NPPES record last updated Aug 15, 2013
Key facts
- NPI
- 1629401435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C2-0002000 (DE)
- Legal business name
- NICHOLAS O BIASOTTO DO PA
- Practice address
- 620 Stanton Christiana Rd
Ste 205
Newark, DE 19713-2133 - Phone
- (302) 998-1284
- Fax
- (302) 998-1267
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Nicholas Biasotto
- Title
- Owner
- Phone
- (302) 998-1284
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130815000659 | DE | Part B Supplier - Clinic/Group Practice | 5991947251 |
Receives reassigned benefits from 1 practitioner Practice locations: Newark, DE |
National Provider Directory
Locations
620 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-6110
620 Stanton Christiana Rd
Ste 205
Newark, DE 19713
Phone (302) 998-1211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | C2-0002000 | DE | Yes |
Addresses
Primary practice location
620 Stanton Christiana Rd
Ste 205
Newark, DE 19713-2133
Mailing address
620 Stanton Christiana Rd
Ste 205
Newark, DE 19713-2133
Phone (302) 998-1284
Other providers in Newark, DE
- Tien Nhat Nguyen
- Vinh Bich Nguyen
- Eric Ni
- Keesha Niblack
- Maryruth L. Nich
- Paul Nicholasen
- Erin Nichols
- Marcia Nichols
- Zoey Nichols
- Stephen Andrew Niemoeller
All providers in Newark, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.