Provider Demographics
NPI:1184721664
Name:ORSINI, ROMAN C (DPM)
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:C
Last Name:ORSINI
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:211 EXECUTIVE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3358
Mailing Address - Country:US
Mailing Address - Phone:302-451-6913
Mailing Address - Fax:302-368-7756
Practice Address - Street 1:12100 BLACK SWAN DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4988
Practice Address - Country:US
Practice Address - Phone:302-644-3311
Practice Address - Fax:302-644-3300
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEE10000153213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184681488OtherCOMMERCIAL INSURANCES
51-0343207OtherBLUE CROSS BLUE SHIELD OF DELAWARE
51-0370286OtherGREAT WEST HEALTHCARE
51-0370286OtherUNION LABOR LIFE INSURANE COMPANY
DE0001167217Medicaid
51-0370286OtherPERDUE FARMS, INC.
2033386000OtherAMERIHEALTH
297825OtherONE NET PPO, MAMSI, OPTIMUM CHOICE, M.D. IPA
51-0370286OtherHEALTH NET-TRICARE/CHAMPUS
207477OtherUNISON HEALTH PLAN
2631736OtherAETNA US HEALTHCARE
51-0370286OtherDEVON HEALTH SERVICES
51-0370286OtherEASTERN SUSSEX PHYSICIANS ORGANIZATION, P.A.
51-0370286OtherDEVON HEALTH SERVICES
51-0343207OtherBLUE CROSS BLUE SHIELD OF DELAWARE
6189710001Medicare NSC
297825OtherONE NET PPO, MAMSI, OPTIMUM CHOICE, M.D. IPA
51-0370286OtherPERDUE FARMS, INC.