Organization Active NPI

Delaware Vascular Associates P a

  • Vascular Surgery Physician
  • Newark, DE
National Provider Identifier
1043379290
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
1998205736 Issued in DE
Legal business name
DELAWARE VASCULAR ASSOCIATES P A
Practice address
4735 Ogletown Stanton Rd
Medical Arts Pavilion 2 Suite 1208
Newark, DE 19713-2072
Phone
(302) 733-5700
Fax
(302) 733-5373
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. F Todd Harad, M.D.
Title
President
Phone
(302) 733-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 1998205736 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Medical Arts Pavilion 2 Suite 1208
Newark, DE 19713-2072

Mailing address

4735 Ogletown Stanton Rd
Medical Arts Pavilion 2 Suite 1208
Newark, DE 19713-2072
Phone (302) 733-5700

Other identifiers 1

IdentifierTypeStateIssuer
1000014369MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1043379290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MEDICAL ARTS PAVILION 2 SUITE 1208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MEDICAL ARTS PAVILION 2 SUITE 1208",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VASCULAR ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HARAD",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-733-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "DE",
            "license": "1998205736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000014369",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.