Active NPI
Maureen A. Santucci
- Acupuncturist
- Wilmington, DE
National Provider Identifier
1740892405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- CQ-0000056
- Practice address
- 1601 Milltown Rd Ste 12
Wilmington, DE 19808-4084 - Phone
- (475) 202-3669
- NPI assigned
- Aug 23, 2020
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000283 | PA | |
| Acupuncturist | 171100000X | CQ-0000056 | DE | Primary |
| Acupuncturist | 171100000X | 000752 | CT |
Addresses
Primary practice location
1601 Milltown Rd Ste 12
Wilmington, DE 19808-4084
Mailing address
771 Arbour Dr
Newark, DE 19713-1207
Phone (475) 202-3669
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | myozen.com | Direct |
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 |
|---|---|---|---|
| CQ-0000056 | DE | MD | Acupuncturist |
| OM000283 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1740892405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 ARBOUR DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131207",
"telephone_number": "475-202-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MILLTOWN RD STE 12",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084084",
"telephone_number": "475-202-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTUCCI",
"first_name": "MAUREEN",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000283",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DE",
"license": "CQ-0000056",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000752",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "myozen.com",
"affiliation": "N",
"endpointDescription": "practice website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "641 Christina Mill Dr",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197113579",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.