Individual provider Active NPI

Susan Katherine Passarella, D.O.

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1720114416
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C70003273 Issued in DE
Practice address
4755 Ogletown-Stanton Road
Newark, DE 19701-6001
Phone
(302) 733-6565
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C70003273 DE Primary

Addresses

Primary practice location

4755 Ogletown-Stanton Road
Newark, DE 19701-6001

Mailing address

PO Box 6001
Academic Affairs Suite 2100 Christiana Hospital
Newark, DE 19718-0001
Phone (302) 733-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000746 NJ Practitioner - Obstetrics/Gynecology 8921150038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (864) 908-3530

Hospital & facility affiliations

  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C70003273DEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jan 29, 2018 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1720114416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "address_2": "ACADEMIC AFFAIRS SUITE 2100 CHRISTIANA HOSPITAL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN-STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197016001",
            "telephone_number": "302-733-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLA",
        "first_name": "SUSAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C70003273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.