NPIMap

Organization Active NPI

Affordable Health Care of Delaware

  • Family Medicine Physician
  • Smyrna, DE
National Provider Identifier
1033292016
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0005169 Issued in DE
Legal business name
AFFORDABLE HEALTH CARE OF DELAWARE
Practice address
224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone
(302) 653-0903
Fax
(302) 653-1708
NPI assigned
Oct 23, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Josefina Cancino, MD
Title
Physician Owner
Phone
(302) 653-0903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G0005169 DE Primary

Addresses

Primary practice location

224 N Dupont Blvd
Smyrna, DE 19977-1511

Mailing address

224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone (302) 653-0903

National Provider Directory

National Provider Directory

Locations

222 N DuPont Blvd
Smyrna, DE 19977
Phone (302) 653-0903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1033292016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N DUPONT BLVD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771511",
            "telephone_number": "302-653-0903",
            "fax_number": "302-653-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N DUPONT BLVD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771511",
            "telephone_number": "302-653-0903",
            "fax_number": "302-653-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HEALTH CARE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "CANCINO",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "302-653-0903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "G0005169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.