ELLEN E RADZIEWICZ


Address: 774 Christiana Rd, Suite 101, Newark, DE 19713-4236
Phone: 3026234004

ELLEN E RADZIEWICZ (NPI# 1750432027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750432027
Entity Type Individual
Full Name ELLEN E RADZIEWICZ
Credential P.A.-C
Practice Address 774 Christiana Rd
Suite 101
Newark
DE 19713-4236
Mailing Address 210 Marjoram Dr
Bear
DE 19701-6014
Practice Telephone 3026234004
Practice Fax Number 3026234064
Mailing Telephone 3028387228
Mailing Fax Number 3026234064
Enumeration Date 2007-01-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
C5-0000359 DE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 774 CHRISTIANA RD
SUITE 101
City NEWARK
State DE
Zip Code 19713-4236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932102134 Joseph I Ramzy Otolaryngology 774 Christiana Rd, Suite 107, Newark, DE 19713-4236 2005-05-23
1336500404 Britney Walker Physician Assistant 774 Christiana Rd, Newark, DE 19713-4236 2016-03-16
1639538879 Robert Kondos Physician Assistant 774 Christiana Rd, Suite 202, Newark, DE 19713-4236 2016-02-16
1669869210 Noreen Murphy Bowens Nurse Practitioner 774 Christiana Rd, Suite 201, Newark, DE 19713-4236 2015-04-22
1801206743 Douglas B. Gersh, Md., LLC Psychiatry & Neurology 774 Christiana Rd, Suite 201, Newark, DE 19713-4236 2014-04-30
1427306240 Delaware Vascular and Vein Center, LLC Surgery 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 2012-08-28
1619201290 Joseph W Reynolds Physician Assistant 774 Christiana Rd, Suite 202, Newark, DE 19713-4236 2009-09-29
1942432281 David W. Lipscomb Clinical Nurse Specialist 774 Christiana Rd, Suite 210b, Newark, DE 19713-4236 2009-08-20
1366674921 Neuromuscular Medicine of Delaware, P.a. Psychiatry & Neurology 774 Christiana Rd, Suite 202, Newark, DE 19713-4236 2009-08-17
1922238062 Delaware Neuroscience Specialists Specialist 774 Christiana Rd, Suite 201b, Newark, DE 19713-4236 2009-07-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City NEWARK
Zip Code 19713

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Dataset Information

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.

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