JOHN P DELISIO (NPI# 1720180540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720180540 |
| Entity Type | Individual |
| Full Name | JOHN P DELISIO |
| Credential | P.A. |
| Practice Address |
1202 Driving Park Ave Ste 5 Newark NY 14513-1057 |
| Mailing Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Practice Telephone | 3153592690 |
| Mailing Telephone | 5859224000 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010933 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03141320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255397642 | John P. Delisio | Urology | 9101 Stony Point Dr, Richmond, VA 23235 | 2006-04-25 |
| Street Address |
1202 DRIVING PARK AVE STE 5 |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826837 | Eileen Ersteniuk | Social Worker | 1202 Driving Park Ave, Newark, NY 14513-1086 | 2006-07-21 |
| 1194230490 | Carolyn E. Rhodes | Physician Assistant | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2017-12-08 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1164675955 | Rochester General Hospital | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1225280910 | Rochester General Hospital | Internal Medicine | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-14 |
| 1073627337 | Ralph R Madeb | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992104962 | Jessica Nackley | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2014-08-15 |
| 1831304682 | Geraldine Redmond | Physician Assistant | 150 Bergen St., E - Level Rm# E346, Newark, NJ 07103 | 2007-05-14 |
| 1285856716 | Jill Rachel Mermagen | Physician Assistant | 4755 Stanton Ogletown Road, Newark, DE 19711 | 2007-05-03 |
| 1679794473 | North Jersey Orthopaedic Group | Physician Assistant | 90 Bergen St Ste 1200, Newark, NJ 07103-2425 | 2007-05-01 |
| 1073697330 | Krista Wark Rogaski | Physician Assistant | 90 Bergen St # 8100, Newark, NJ 07103-2425 | 2006-10-24 |
| 1043310527 | Anthony H Hamded | Physician Assistant | 111 Central Ave Fl 3, Newark, NJ 07102-1909 | 2006-09-24 |
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1477162725 | Aidan Sullivan | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-23 |
| 1871064352 | Cassandra Barker | Physician Assistant | 150 Bergen St, Newark, NJ 07103-2496 | 2018-12-10 |
| 1881161198 | Kaitlyn A Tytka | Physician Assistant | 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 | 2018-10-25 |
| Find all providers in NEWARK | ||||
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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.