Active NPI
Delaware Vascular Associates P a
- Vascular Surgery Physician
- Newark, DE
National Provider Identifier
1043379290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 1998205736
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000014369 | Medicaid | DE |
National Provider Directory
National Provider DirectoryNPI 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.