DELAWARE MODERN PEDIATRICS


Address: 300 Biddle Ave, Connor Building Suite 206, Newark, DE 19702-3969
Phone: 3023922067

DELAWARE MODERN PEDIATRICS (NPI# 1578608592) 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) 1578608592
Entity Type Organization
Organization Name DELAWARE MODERN PEDIATRICS
Practice Address 300 Biddle Ave
Connor Building Suite 206
Newark
DE 19702-3969
Practice Telephone 3023922067
Practice Fax Number 3022288168
Mailing Telephone 3023922067
Mailing Fax Number 3022288168
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name MRS. MELISSA LYNN MACOLLEY (BUSINESS MANAGER)
Authorized Official Telephone 3023922067
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2007214283 DE Allopathic & Osteopathic Physicians

Office Location

Street Address 300 BIDDLE AVE
CONNOR BUILDING SUITE 206
City NEWARK
State DE
Zip Code 19702-3969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598730723 Robin J Simpson Family Medicine 300 Biddle Ave, Suite 200, Newark, DE 19702-3969 2006-02-21
1336622034 Debra Meliodon Counselor 300 Biddle Ave, 207 Concord Building, Newark, DE 19702 2018-09-10
1356830053 Caitlin Marie Flatley Family Medicine 300 Biddle Ave, Conner Building, Newark, DE 19702 2018-05-08
1487106258 Mindy Myers Speech-Language Pathologist 300 Biddle Ave, Suite 101, Newark, DE 19702 2016-10-27
1013395409 All About Pain and Spine Pain Medicine 300 Biddle Ave, Suite 203, Newark, DE 19702-3969 2015-05-18
1366865958 Patricia Ayers Social Worker 300 Biddle Ave, Newark, DE 19702-3969 2014-02-03
1881024321 Karen B Rohrer Occupational Therapist 300 Biddle Ave, Newark, DE 19702-3969 2013-11-20
1861726424 Maryland Real Life Designs, LLC Prosthetic/Orthotic Supplier 300 Biddle Ave, Suite 212, Newark, DE 19702-3969 2009-09-29
1942533427 Jessica M Casale Registered Nurse 300 Biddle Ave, Suite 200, Newark, DE 19702-3969 2009-09-15
1639338908 Seasons Hospice & Palliative Care of Delaware, LLC Hospice Care, Community Based 300 Biddle Ave, Ste 205, Newark, DE 19702-3969 2008-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407467814 Leilanie Redondiez Physical Therapist 110 Blue Ridge Circle, Newark, DE 19702 2020-08-11
1285118679 A Center for Mental Wellness Community Support Programs, LLC Substance Abuse Rehabilitation Facility 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 2018-09-20
1124510854 Shena Williams Counselor 1423 Capital Trail Rd, Newark, DE 19702 2018-05-30
1437664737 Excellence Home Care LLC Home Health 122 Delaware Street, New Castle, DE 19702 2017-12-08
1710496773 Kirt Leigh Randolph Physical Therapy Assistant 229 Barrett Run Place, Newark, DE 19702 2017-09-21
1871014399 Edeline Elicin Marriage & Family Therapist 260 Chapman Road, Suite 100-b, Newark, DE 19702 2017-07-06
1831646454 Rickia Izetta Spivey-kennedy Counselor 36 Avignon Drive, Newark, DE 19702 2016-09-01
1134585748 Thomas Wolters Pharmacist 248 Chaoman Road, Newark, DE 19702 2016-01-12
1851700686 Candice Roberts Nurse Practitioner 100 Biddle Ave Ste 101, Newark, DE 19702 2014-08-06
1316367428 Evyline Chioma Occupational Therapist 25 Buttonwood Ct., Newark, DELAWARE 19702 2014-04-16
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578084448 Valerie Louissaint Pediatrics 240 Osborne Ter, Newark, NJ 07112-2130 2017-06-30
1396129912 Madheea Siddiqi Pediatrics 185 S Orange Ave # 972-6015, Newark, NJ 07103-2757 2015-07-14
1124433024 Priyanka Vakati Pediatrics 4755 Ogletown Stanton Rd Dept Of, Newark, DE 19718-2200 2014-06-30
1588920854 Stephanie J Lempel Pediatrics 185 South Orange Avenue - F603, Newark, NJ 07103 2012-04-11
1427360577 Rula Nassar Pediatrics 4755 Ogletown - Stanton Rd, Map Suite 217, Newark, DE 19713 2010-07-06
1235450883 Jimisha Patel Pediatrics 1864 Tamarack Road, Newark, OH 43055 2010-06-17
1235463548 First State Pediatrics, LLC Pediatrics 210 Christiana Medical Ctr, Newark, DE 19702-1652 2009-09-21
1528224615 Juan Gadea Pediatrics 179 W Chestnut Hill Rd Ste 6, Newark, DE 19713-2210 2008-07-29
1821269630 Chandra Gupta Pediatrics 156 Roseville Avenue, Newark, NJ 07107 2008-03-19
1669676219 Justin M. D'antuono Pediatrics 1400 Peoples Plaza, Suite 300, Newark, DE 19702-5708 2007-06-14
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Competitor

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City NEWARK
Zip Code 19702

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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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