Active NPIIndividual provider

Ms. Rebecca L Katkocin, PAC

Physician Assistant in Newark, Delaware

NPI Number1053589945
Practice location
4755 Ogletown Stanton RD Ste 2670, Newark, DE 19718-2200
Fax
302-733-4832
Last updated
June 25, 2024

Rebecca Leigh Katkocin is a Physician Assistant based in Newark, DE. Rebecca Leigh Katkocin practices in Newark, DE and has the professional credentials of PAC. The NPI Number for Rebecca Leigh Katkocin is 1053589945 and holds a License No. CT001993 (CT). The current practice location address for Rebecca Leigh Katkocin is 4755 Ogletown Stanton RD Ste 2670, Newark, DE 19718-2200 and can be reached out via phone at 302-733-2438 and via fax at 302-733-4832.

Provider Profile Details

NPI Number
1053589945
Provider Name
Rebecca Leigh Katkocin
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
4755 Ogletown Stanton RD Ste 2670, Newark, DE 19718-2200
Phone Number
302-733-2438
Fax Number
302-733-4832
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Ms. Becky Leigh Katkocin, PAC (Other Name)
Provider Enumeration Date
February 14, 2008
Last Update Date
June 25, 2024
Certification Date
June 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4755 Ogletown Stanton RD Ste 2670
Newark, DE 19718-2200
City
Newark
Zip
19718-2200
Phone Number
302-733-2438
Fax Number
302-733-4832
Newark, DE 19718Get directions →

Provider Business Mailing Address Details

Address
4755 Ogletown Stanton RD Ste 2670
Newark, DE 19718-2200
City
Newark
State
DE
Zip
19718-2200
Phone Number
302-733-2438
Fax Number
302-733-4832

License Information

License Number (1)
CT001993
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
001993
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
C5-0012061
License State (3)
DE
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Rebecca L Katkocin, PAC?

The NPI number of Ms. Rebecca L Katkocin, PAC is 1053589945. It was assigned on February 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Rebecca L Katkocin, PAC?

Ms. Rebecca L Katkocin, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number CT001993.

Where does Ms. Rebecca L Katkocin, PAC practice?

The practice location is 4755 Ogletown Stanton RD Ste 2670, Newark, DE 19718-2200. The office can be reached at 302-733-2438 (phone) or 302-733-4832 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053589945 directly on the NPPES registry website.

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