Individual provider Active NPI

Danielle M Mazzuca, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1770093064
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
99 Passmore Rd
Wilmington, DE 19803-1548
Phone
(302) 478-9411
Fax
(302) 479-9883
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

99 Passmore Rd
Wilmington, DE 19803-1548

Mailing address

99 Passmore Rd
Wilmington, DE 19803-1548
Phone (302) 478-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116000728 DE Practitioner - Physician Assistant 9133488315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Services of DelawareGroup PAC ID 4082643739, 21 clinicians

Practice addresses (Care Compare)

99 Passmore Rd
Wilmington, DE 19803-1548
Phone (302) 478-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Physician Assistant CurrentSince Nov 19, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 19, 2017 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4735 Ogletown Stanton Rd
Ste 1201
Newark, DE 19713
Phone (302) 623-4330

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1770093064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PASSMORE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZUCA",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.