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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 2007214283 | DE | Allopathic & Osteopathic Physicians |
Street Address |
300 BIDDLE AVE CONNOR BUILDING SUITE 206 |
City | NEWARK |
State | DE |
Zip Code | 19702-3969 |
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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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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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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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.