Active NPI
Luca Fiasco
- Student in an Organized Health Care Education/Training Program
- Newark, DE
National Provider Identifier
1629957071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- A7-0012601
- Practice address
- 31 Bridleshire Rd
Newark, DE 19711-2450 - Phone
- (302) 530-3876
- NPI assigned
- Aug 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A7-0012601 | DE | |
| Student in an Organized Health Care Education/Training Program | 390200000X | A7-0012601 | DE | Primary |
Addresses
Primary practice location
31 Bridleshire Rd
Newark, DE 19711-2450
Mailing address
31 Bridleshire Rd
Newark, DE 19711-2450
Phone (302) 530-3876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A7-0012601 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1629957071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BRIDLESHIRE RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112450",
"telephone_number": "302-530-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BRIDLESHIRE RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112450",
"telephone_number": "302-530-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIASCO",
"first_name": "LUCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A7-0012601",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DE",
"license": "A7-0012601",
"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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.