Active NPI
Neil S. Woloshin, D.M.D.
- General Practice Dentistry
- Newark, DE
National Provider Identifier
1992809685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G10001071
- Practice address
- 1290 Peoples PLZ
Newark, DE 19702-5701 - Phone
- (302) 836-3750
- Fax
- (302) 836-2693
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G10001071 | DE | Primary |
Addresses
Primary practice location
1290 Peoples PLZ
Newark, DE 19702-5701
Mailing address
1290 Peoples PLZ
Newark, DE 19702-5701
Phone (302) 836-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001030608 | Medicaid | DE | |
| 0001030831 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 10, 2021 through Feb 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10001071 | DE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992809685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 PEOPLES PLZ",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025701",
"telephone_number": "302-836-3750",
"fax_number": "302-836-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 PEOPLES PLZ",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025701",
"telephone_number": "302-836-3750",
"fax_number": "302-836-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOSHIN",
"first_name": "NEIL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G10001071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001030608",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001030831",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.