Active NPI
Paul A. Sica Jr., M.D.
- Dermatology Physician
- Wilmington, DE
National Provider Identifier
1659694511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C1-0000644
- Practice address
- 2300 Pennsylvania Ave.
#3C
Wilmington, DE 19806 - Phone
- (302) 652-3469
- Fax
- (302) 652-7102
- NPI assigned
- Mar 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | C1-0000644 | DE | Primary |
Addresses
Primary practice location
2300 Pennsylvania Ave.
#3C
Wilmington, DE 19806
Mailing address
2300 Pennsylvania Ave.
#3C
Wilmington, DE 19806
Phone (302) 652-3469
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 |
|---|---|---|---|
| C1-0000644 | DE | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1659694511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 PENNSYLVANIA AVE.",
"address_2": "#3C",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19806",
"telephone_number": "302-652-3469",
"fax_number": "302-652-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PENNSYLVANIA AVE.",
"address_2": "#3C",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19806",
"telephone_number": "302-652-3469",
"fax_number": "302-652-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICA",
"first_name": "PAUL",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DE",
"license": "C1-0000644",
"primary": true
}
],
"identifiers": [],
"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 Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.