Organization Active NPI

Easter Seals Delaware & Maryland'S Eastern Shore

  • Rehabilitation Clinic/Center
  • Salisbury, MD
National Provider Identifier
1013392968
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EASTER SEALS DELAWARE & MARYLAND'S EASTERN SHORE
Practice address
1336 Belmont Ave
Suite 502
Salisbury, MD 21804-4500
Phone
(410) 546-2894
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Mr. John P Miller
Title
Vice President - Finance
Phone
(302) 221-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MD Primary

Addresses

Primary practice location

1336 Belmont Ave
Suite 502
Salisbury, MD 21804-4500

Mailing address

1336 Belmont Ave
Suite 502
Salisbury, MD 21804-4500
Phone (410) 546-2894

Other identifiers 1

IdentifierTypeStateIssuer
8276013 00MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Delaware Maryland'S Eastern Shore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1336 Belmont Ave
Ste 502
Salisbury, MD 21804
Phone (410) 546-2894

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1013392968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BELMONT AVE",
            "address_2": "SUITE 502",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044500",
            "telephone_number": "410-546-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BELMONT AVE",
            "address_2": "SUITE 502",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044500",
            "telephone_number": "410-546-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS DELAWARE & MARYLAND'S EASTERN SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "302-221-2034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8276013 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.