NICHOLAS PETRELLI (NPI# 1629058201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629058201 |
| Entity Type | Individual |
| Full Name | NICHOLAS PETRELLI |
| Credential | MD |
| Practice Address |
4701 Ogletown Stanton Rd Suite 1213 Newark DE 19713-2055 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026234550 |
| Practice Fax Number | 3026234554 |
| Mailing Telephone | 3026237362 |
| Mailing Fax Number | 3026237374 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
C10006443 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
4701 OGLETOWN STANTON RD SUITE 1213 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265432 | Natalie C Knitowski | Physician Assistant | 4701 Ogletown Stanton Rd, Suite 1500, Newark, DE 19718-2200 | 2005-06-16 |
| 1912449554 | Tiffany D Whary | Dietitian, Registered | 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-11-14 |
| 1194172445 | Simply You, Inc. | Durable Medical Equipment & Medical Supplies | 4701 Ogletown Stanton Rd, Room 1203, Newark, DE 19713-2055 | 2016-05-17 |
| 1689038580 | Janet Teixeira | Social Worker | 4701 Ogletown Stanton Rd, Helen F Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-04-07 |
| 1205201530 | Jennifer Campoli | Registered Nurse | 4701 Ogletown Stanton Rd, Suite 3400, Newark, DE 19713-2055 | 2015-12-11 |
| 1548632110 | Jessica Joel Smallwood | Clinical Nurse Specialist | 4701 Ogletown Stanton Rd, Suite 2400, Newark, DE 19713-2055 | 2015-10-22 |
| 1801263330 | Audrey Elizabeth Squire | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-09-01 |
| 1306225560 | Viriginia L Vining | Dietitian, Registered | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-05-21 |
| 1780079939 | Nicholas Colin Petersen | Student in an Organized Health Care Education/Training Program | 4701 Ogletown Stanton Rd, Newark, DE 19713-2055 | 2015-04-04 |
| 1366851206 | Danielle B Mckenna | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2014-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1790786416 | Noah Adam Goldman | Obstetrics & Gynecology | 140 Bergen Street, Level C, Newark, NJ 07103 | 2005-08-03 |
| 1144229733 | Nicholas Reed | Obstetrics & Gynecology | 15 Messimer Dr, Newark, OH 43055-1841 | 2005-07-18 |
| 1386871689 | Jenna Z Marcus | Obstetrics & Gynecology | 185 S Orange Ave, Medical Science Building E536, Newark, NJ 07103-2757 | 2009-06-15 |
| 1548468259 | Stephanie Jean | Obstetrics & Gynecology | 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center West, S-2335, Newark, DE 19713-2055 | 2007-07-03 |
| 1811191604 | Akiva Pesach Novetsky | Obstetrics & Gynecology | 140 Bergen St # C, Newark, NJ 07103-2425 | 2007-06-13 |
| 1982628111 | Charles W Whitney | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-27 |
| 1912921149 | James E Larson | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-27 |
| 1730102914 | Christiana Gynecologic Oncology, LLC | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-26 |
| 1225068372 | Mario Mendes Leitao Jr. | Obstetrics & Gynecology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.