Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dominick Sam Defelice, MD

Individual provider Family Medicine Physician · NPI 1720577992

Dr. Dominick Sam Defelice, MD is a Family Practice in Wilmington, North Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
8
Licensed in
NC, NY
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2523 Delaney Ave
Wilmington, NC 28403-6003
Phone: (910) 763-5522
Fax: (910) 763-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Clinton Ave S, Rochester, NY 14620-1448 — (585) 279-4800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023-00901 (NC)
Neuropathology Physician Taxonomy 207ZN0500X · Licence 309120 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 309120 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720577992
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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