Organization Active NPI

Qualibrite Health LLC

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1083336036
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
QUALIBRITE HEALTH LLC
Practice address
2810 N Church St Ste 24371
Wilmington, DE 19802-4447
Phone
(302) 485-5551
Fax
(800) 536-1322
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Dr. Ife Muyiwa-Ojo, NPNPI 1699306902
Title
Medical Director/Owner
Phone
(302) 485-5551

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2810 N Church St Ste 24371
Wilmington, DE 19802-4447

Mailing address

2810 N Church St Ste 24371
Wilmington, DE 19802-4447
Phone (302) 485-5551

Other names 2

  • Qualibrite Family Medicine Doing business as
  • Qualibrite Family Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

2810 N Church St
Ste 24371
Wilmington, DE 19802
Phone (302) 485-5551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1083336036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N CHURCH ST STE 24371",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024447",
            "telephone_number": "302-485-5551",
            "fax_number": "800-536-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N CHURCH ST STE 24371",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024447",
            "telephone_number": "302-485-5551",
            "fax_number": "800-536-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIBRITE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "MUYIWA-OJO",
        "authorized_official_first_name": "IFE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "302-485-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualibrite Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Qualibrite Family Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.