Central Delaware Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL DELAWARE FAMILY MEDICINE

Practice address

1001 S Bradford St
Ste. 4
Dover, DE 19904-4153

Phone

(302) 735-1616

Fax

(302) 735-1616

NPI assigned

Dec 28, 2016

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca L Gazze-McIlroy, DONPI 1972550424

Title

President

Phone

(302) 735-1616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

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.

• Rebecca Leann Gazze-McIlroy, D.O.

  • Family Medicine Physician
  • Dover, DE
  • NPI 1972550424
  Medicare reassignment Care Compare group Authorized official
• Kimberlie A Neal, MD

  • Family Medicine Physician
  • Dover, DE
  • NPI 1588631741
  Medicare reassignment Care Compare group
• Tiffany Rhoda Tullis, NP-C

  • Acute Care Nurse Practitioner
  • Dover, DE
  • NPI 1538418918
  Medicare reassignment

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1043755176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST",
            "address_2": "STE. 4",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-735-1616",
            "fax_number": "302-735-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST",
            "address_2": "STE. 4",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-735-1616",
            "fax_number": "302-735-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DELAWARE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "GAZZE-MCILROY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-735-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Dermatology, P.a.
• Nathan Lawrence Centers, MD
• Central Delaware Endoscopy Unit
• Central Delaware Endoscopy Unit LLC
• Central Delaware Family Foot Care
• Central Delaware Family Medicine PA
• Central Delaware Speech-Language Pathology, Inc.
• Lee Cetrano
• Suzanne Lee Chafin, LPCMH
• Jennifer Lynn Chambers, DNP, CPNP-AC

• Family Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.