Active NPI
Easter Seals Delaware & Maryland'S Eastern Shore
- Rehabilitation Clinic/Center
- Salisbury, MD
National Provider Identifier
1013392968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8276013 00 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Easter Seals Delaware Maryland'S Eastern Shore
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care Camp
- Chestertown, MD
- NPI 1457736308
-
- Intellectual & Developmental Disabilities Psychologist
- New Castle, DE
- NPI 1437156635
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.
-
- Occupational Therapist
- Salisbury, MD
- NPI 1164019279
-
- Speech-Language Pathologist
- Salisbury, MD
- NPI 1093103129
-
- Physical Therapist
- Nashville, NC
- NPI 1962207969
-
- Speech-Language Pathologist
- Washington, DC
- NPI 1366095606
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": []
}
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- Meghan Suzanne East, PA-C
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- Eastern Shore Counseling Associates, Inc.
- Eastern Shore Eldercare LLC
- Eastern Shore Endodontics, P.a.
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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.