Individual provider Active NPI

Allison R Jurgaitis, NP

  • Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1669779658
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000700 Issued in DE
Practice address
122 Silver Lake Rd
Middletown High School
Middletown, DE 19709-1225
Phone
(302) 378-5775
Fax
(302) 378-5760
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP007315 PA
Nurse Practitioner 363L00000X LG-0000700 DE Primary

Addresses

Primary practice location

122 Silver Lake Rd
Middletown High School
Middletown, DE 19709-1225

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Phone (856) 881-7495

Other names 1

  • Allison Marchesi Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000700DEMDNurse Practitioner
SP007315PAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1669779658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "856-881-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SILVER LAKE RD",
            "address_2": "MIDDLETOWN HIGH SCHOOL",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091225",
            "telephone_number": "302-378-5775",
            "fax_number": "302-378-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGAITIS",
        "first_name": "ALLISON",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP007315",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MARCHESI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.