Individual provider Active NPI

Jessica Magdeburger

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1063071470
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-0025135 Issued in DE
Practice address
1342 S Governors Ave
Dover, DE 19904-4804
Phone
(302) 734-2500
Fax
(302) 734-7758
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-0025135 DE Primary

Addresses

Primary practice location

1342 S Governors Ave
Dover, DE 19904-4804

Mailing address

1342 S Governors Ave
Dover, DE 19904-4804
Phone (302) 734-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002235 DE Practitioner - Family Practice 7012242753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dover Family Physicians PAGroup PAC ID 3274561980, 8 clinicians

Practice addresses (Care Compare)

1342 S Governors Ave
Dover, DE 19904-4804
Phone (302) 346-2760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1-0025135DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Family Physicians PA Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1342 S Governors Ave
Dover, DE 19904
Phone (302) 346-2760

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/59067

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1063071470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044804",
            "telephone_number": "302-734-2500",
            "fax_number": "302-734-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044804",
            "telephone_number": "302-734-2500",
            "fax_number": "302-734-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDEBURGER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "1-0025135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.