Individual provider Active NPI

Lyndon B Cagampan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dover, DE
National Provider Identifier
1003842436
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C10007996 Issued in DE
Practice address
200 Banning St
Ste 350
Dover, DE 19904-3485
Phone
(302) 730-8848
Fax
(302) 730-8846
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X C10007996 DE Primary

Addresses

Primary practice location

200 Banning St
Ste 350
Dover, DE 19904-3485

Mailing address

200 Banning St
Ste 350
Dover, DE 19904-3485
Phone (302) 730-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000081 DE Practitioner - Physical Medicine and Rehabilitation 3678578432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Hampton Hill Dr
Camden, DE 19934-5301
Phone (302) 525-1951

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Physical Medicine and Wellness Center, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1009 Mattlind Way
Milford, DE 19963
Phone (302) 424-1760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1003842436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "STE 350",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-730-8848",
            "fax_number": "302-730-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "STE 350",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-730-8848",
            "fax_number": "302-730-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGAMPAN",
        "first_name": "LYNDON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "C10007996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.