Active NPI
Hal C. Byck, MD
- General Practice Physician
- Wilmington, DE
National Provider Identifier
1659477131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C10003946
- Practice address
- Nemours Pediatrics Jessup St.
1602 Jessup Street
Wilmington, DE 19802-4210 - Phone
- (302) 576-5050
- Fax
- (302) 576-5065
- NPI assigned
- Sep 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10003946 | DE | |
| General Practice Physician | 208D00000X | C10003946 | DE | Primary |
| Hospitalist Physician | 208M00000X | C10003946 | DE |
Addresses
Primary practice location
Nemours Pediatrics Jessup St.
1602 Jessup Street
Wilmington, DE 19802-4210
Mailing address
Nemours Childrens Clinic
P.O. Box 404112
Atlanta, GA 30384-0001
Phone (904) 390-3610
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5607400 | Medicaid | NJ | |
| 6704204 | Medicaid | VA | |
| 001447101 | Medicaid | PA | |
| 4423030 | Medicaid | DC | |
| 1484311 | Medicaid | MD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10003946 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- hbyck1199@direct.nemours.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1659477131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEMOURS CHILDRENS CLINIC",
"address_2": "P.O. BOX 404112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840001",
"telephone_number": "904-390-3610",
"fax_number": "904-288-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEMOURS PEDIATRICS JESSUP ST.",
"address_2": "1602 JESSUP STREET",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198024210",
"telephone_number": "302-576-5050",
"fax_number": "302-576-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYCK",
"first_name": "HAL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10003946",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C10003946",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "DE",
"license": "C10003946",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5607400",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6704204",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001447101",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4423030",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1484311",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.