Active NPI
Delaware Plastic & Recon Surgery
- Plastic Surgery Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 1990025547
- Legal business name
- DELAWARE PLASTIC & RECON SURGERY
- Practice address
- One Centurian Dr
Suite 301
Newark, DE 19713-2127 - Phone
- (302) 994-8492
- Fax
- (302) 994-1155
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 8, 2008
- 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
- Abdollah Malek, M.D.
- Title
- President Owner
- Phone
- (302) 994-8492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 1990025547 | DE | Primary |
Addresses
Primary practice location
One Centurian Dr
Suite 301
Newark, DE 19713-2127
Mailing address
One Centurian Dr
Suite 301
Newark, DE 19713-2127
Phone (302) 994-8492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000171202 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17644 Coastal Hwy
Unit G
Lewes, DE 19958
Phone (302) 645-7672
78C Omega Dr
Newark, DE 19713
Phone (302) 368-2883
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Plastic Surgery Physician
- Newark, DE
- NPI 1073669750
-
- Plastic and Reconstructive Surgery Physician
- Milford, DE
- NPI 1013207117
Plastic Surgery
-
- Cardiovascular Disease Physician
- Rehobeth Beach, DE
- NPI 1326016858
-
- Cardiovascular Disease Physician
- Rehoboth Beach, DE
- NPI 1700016169
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1669440194
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1528128865
-
- Cardiovascular Disease Physician
- Orchard Park, NY
- NPI 1407830565
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1013941590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1073653317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE CENTURIAN DR",
"address_2": "SUITE 301",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132127",
"telephone_number": "302-994-8492",
"fax_number": "302-994-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CENTURIAN DR",
"address_2": "SUITE 301",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132127",
"telephone_number": "302-994-8492",
"fax_number": "302-994-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE PLASTIC & RECON SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "MALEK",
"authorized_official_first_name": "ABDOLLAH",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "302-994-8492",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "DE",
"license": "1990025547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000171202",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Delaware Neurosurgical GRP PA
- Delaware Open MRI Radiology Associates (Delaware Open MRI - Newark)
- Delaware Open MRI Radiology Associates LLC (Akumin)
- Delaware Oral & Maxillofacial Surgery,LLC
- Delaware Pain Relief Center PA
- Delaware Radiology Associates PA
- Delaware Rehabilitation Services Network, Inc.
- Delaware Sleep Disorder Centers, LLC
- Delaware Sleep Disorder Centers, LLC
- Delaware Sleep Disorder Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.