Delmarva Pain & Spine Center, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

DELMARVA PAIN & SPINE CENTER, LLC

Practice address

1 Centurian Dr Ste 110
Newark, DE 19713-2154

Phone

(302) 355-0900

Fax

(302) 355-0901

NPI assigned

Jun 7, 2017

Last updated

Jun 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shachi Patel, MDNPI 1285994582

Title

Owner

Phone

(302) 355-0090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shachi C Patel, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Newark, DE
  • NPI 1285994582

  MD

  Medicare reassignment Care Compare group NPD Authorized official
• Molly Ruth Winkler, PA-C

  • Physician Assistant
  • Newark, DE
  • NPI 1295331155
  Medicare reassignment Care Compare group
• Kathaleen Vinasco, PA-C

  • Physician Assistant
  • Newark, DE
  • NPI 1013880285
  Medicare reassignment
• Mary Jane Nerona Salo, MSN,FNP,PHD

  • Family Nurse Practitioner
  • American Canyon, CA
  • NPI 1174092902
  NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1750810305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132154",
            "telephone_number": "302-355-0900",
            "fax_number": "302-355-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132154",
            "telephone_number": "302-355-0900",
            "fax_number": "302-355-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA PAIN & SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHACHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-355-0090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Delgado-Rivera, FNP
• Allison Delillo
• Dawn Delledonne
• Delmar Behavioral Health & Recovery LLC
• Samantha Delmar
• Ora Edwardena Deloatch
• Stephanie Delpino
• Anton Grant Delport, MD
• Elva Grace Delport, MKD
• Elaine Deluca

• Pain Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.