MR. ROBERT ANTHONY DISIBIO JR. (NPI# 1902922677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902922677 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ANTHONY DISIBIO JR. |
| Credential | PA-C |
| Practice Address |
3322 Silverside Rd Wilmington DE 19810 |
| Mailing Address |
3 Barker Ave Fl 4 White Plains NY 10601-1524 |
| Practice Telephone | 3024788889 |
| Mailing Telephone | 3025950080 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C50000541 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | STATE OF DELAWARE LICENSE | C50000541 | 01 |
| DE | DEA | MD1460839 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Continental Dr, Newark, DE 197134306 | 3023682630 |
| Street Address |
3322 SILVERSIDE RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766797 | Melanie Vizzachero | Occupational Therapist | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2020-09-30 |
| 1336612472 | Billie Jo Boughter | Nurse Practitioner | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2019-01-10 |
| 1477995926 | Eileen Marie Gabrielli | Nurse Practitioner | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2013-07-25 |
| 1023368719 | Onix Silverside LLC | Nursing Facility/Intermediate Care Facility | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916710 | Sk Chiropractic | Chiropractor | 3411 Silverside Road., Weldin Building. Suite 106, Wilmington, DE 19810 | 2019-01-18 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1073866265 | Julie Ann Donahue | Counselor | 7 Pinecrest Dr, Wilmington, DE 19810 | 2012-10-25 |
| 1245588227 | Megan Mckinney Watts | Physical Therapist | 6411 Silverside Road, Springer Building, Suite 105, Wilmington, DE 19810 | 2012-08-22 |
| 1316236094 | Anthony J Franzosa IIi | Pharmacist | 1718 Marsh Rd, Wilmington, DE 19810 | 2011-04-01 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1881818227 | Kuhwald Contact Lens Co Inc | Durable Medical Equipment & Medical Supplies | 2006 Foulk Road, Suite A, Wilmington, DE 19810 | 2007-04-13 |
| 1528187747 | Vincent Emanuel Paolicelli Jr. | Chiropractor | Hanby Building Ste 102 3411 Silverside Rd, Wilmington, DE 19810 | 2007-03-28 |
| 1407998040 | Constantine Azarcon | Psychiatry & Neurology | 3411 Silverside Road, Rodney Building Suite 107, Wilmington, DE 19810 | 2007-02-12 |
| 1821138876 | Kelly Ann Cirino | Physical Therapist | 3411 Silverside Rd., Suite 105 Springer Bld., Wilmington, DE 19810 | 2007-02-07 |
| Find all providers in zip 19810 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1598836462 | Andrew N. Illobre | Physician Assistant | 6419 Carolina Beach Rd, Suite A, Wilmington, NC 28412-2759 | 2006-11-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19810 |
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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.