NPIMap

Organization Active NPI

Peninsula Orthopaedic Assoc., PA

  • Orthopaedic Surgery Physician
  • Seaford, DE
National Provider Identifier
1780814202
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PENINSULA ORTHOPAEDIC ASSOC., PA
Practice address
503 Health Services Dr
Seaford, DE 19973-5782
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Jul 17, 2009
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Anthony John AdrignoloNPI 1407898182
Title
MD
Phone
(410) 749-4154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DE
Prosthetic/Orthotic Supplier 335E00000X DE
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

503 Health Services Dr
Seaford, DE 19973-5782

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Other identifiers 1

IdentifierTypeStateIssuer
157913OtherDEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090805000520 DE Part B Supplier - Clinic/Group Practice 6406844406 Receives reassigned benefits from 44 practitioners
4 other NPIs on this enrollment
Practice locations: Lewes, DE; Milford, DE; Millsboro, DE; Seaford, DE
O20100930021891 DE DME Supplier - Physician - General Practice 6406844406 Practice locations: Seaford, DE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1780814202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HEALTH SERVICES DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735782",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ORTHOPAEDIC ASSOC., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ADRIGNOLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-749-4154"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "157913",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.