John F Decarli DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C2-0002853 Issued in DE

Legal business name

JOHN F DECARLI DO

Practice address

700 W Lea Blvd
Suite 306
Wilmington, DE 19802-2500

Phone

(302) 761-9620

Fax

(302) 761-9625

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

John Frederick Decarli, DONPI 1063404044

Title

Proprietor

Phone

(302) 761-9620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Frederick Decarli, D.O.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1063404044
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821155235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W LEA BLVD",
            "address_2": "SUITE 306",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022500",
            "telephone_number": "302-761-9620",
            "fax_number": "302-761-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LEA BLVD",
            "address_2": "SUITE 306",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022500",
            "telephone_number": "302-761-9620",
            "fax_number": "302-761-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F DECARLI DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECARLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "302-761-9620",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C2-0002853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000099604",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John E. Hocutt, Jr MD
• John J Daly, III, D.O., PC
• John Joseph Danyo Jr, M.D.
• John M Facciolo D.M.D., P.a.
• Sally Huggins Johns, LCSW
• Amanda Lynn Johnson, LBSC

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.