Mbwidiffu A Dibal, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0000757 Issued in DE

Practice address

2600 Glasgow Ave Ste 104
Newark, DE 19702-5703

Phone

(302) 770-0030

Fax

(302) 273-0031

NPI assigned

Oct 22, 2014

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mbwidiffu Salmamza Former name

Medicare fee-for-service enrollment

Enrolled in DE

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 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHIDD/Endpoint/AEHIDD
• Direct secure messaging: mbwidiffu.dibal.1@24921.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Family Wellness LLC

  • Family Medicine Physician
  • Newark, DE
  • NPI 1245033208
  Medicare reassignment NPD Authorized official
• Precision Care & Wellness, LLC

  dba Lavish Wellness and Aesthetics

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1285191494
  Medicare reassignment NPD
• Precision Care and Wellness LLC Dba Lavish Wellness and Aesthetics

  dba Lavish Wellness & Aesthetics

  • Primary Care Nurse Practitioner
  • Wilmington, DE
  • NPI 1912625351
  Medicare reassignment NPD
• Oasis Pediatrics LLC

  • Pediatrics Physician
  • Wilmington, DE
  • NPI 1164256939
  NPD Authorized official
• Lindo Family Health & Wellness Care

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1003435256
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1629473483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-770-0030",
            "fax_number": "302-273-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-770-0030",
            "fax_number": "302-273-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBAL",
        "first_name": "MBWIDIFFU",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141998",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MBWIDIFFU",
            "last_name": "SALMAMZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Anthony Diamond, MD
• Michael Diamond, PA-C
• Ivette Diaz Bracero
• Marco Paolo Diaz
• Paula Andrea Diaz, DO
• Jacklin Dibiaso, LPCMH, NCC
• Robert William Dicecco, P.T.A.
• Danielle L Dicicco, PA-C
• Teresa Lynn Dickerson, MT-0003971
• Lucas Dickey, PA-C

• Family Nurse Practitioner in Newark, DE
• Providers in Newark, 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 May 8, 2026; 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.