Active NPI
Premier Medical Associates, LLC
- Family Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PREMIER MEDICAL ASSOCIATES, LLC
- Practice address
- 620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134 - Phone
- (302) 449-7484
- NPI assigned
- Sep 9, 2022
- Organization subpart
- Yes
- Parent organization
- PREMIER MEDICAL ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lyron Deputy, NP
- Title
- Ceo
- Phone
- (302) 449-9314
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134
Mailing address
620 Stanton Christiana Rd
Ste 101
Newark, DE 19713-2134
Phone (302) 449-7484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250691905 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pulmonary Disease Physician
- Wilmington, DE
- NPI 1043003015
O20200619000031
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1306638549
O20200619000031
-
- Pulmonary Disease Physician
- Georgetown, DE
- NPI 1821880964
O20200619000031
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1972396935
O20200619000031
National Provider Directory
National Provider Directory- Tax ID family
- Premier Medical Associates
- Part of
- Premier Medical Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1417678228
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1174214696
Locations
2 Lee Ave
Unit 102
Georgetown, DE 19947
Phone (302) 253-8740
620 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 449-9314
261 Chapman Rd
Ste 101
Newark, DE 19702
Phone (302) 453-4101
1400 Philadelphia Pike
Ste A4
Wilmington, DE 19809
Phone (302) 472-4878
700 W Lea Blvd
Ste 301
Wilmington, DE 19802
Phone (302) 764-2072
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Newark, DE
- NPI 1134441702
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, DE
- NPI 1841534120
Multi-Specialty
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1407913197
-
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1194919506
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1629588686
-
- Pulmonary Disease Physician
- Newark, DE
- NPI 1659318921
-
- Adult Health Nurse Practitioner
- Newark, DE
- NPI 1366626301
-
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1356730311
-
- Family Nurse Practitioner
- Rehoboth Beach, DE
- NPI 1225608490
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1376308809
-
- Sleep Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1821071820
-
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1699755678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1114648920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 STANTON CHRISTIANA RD",
"address_2": "STE 101",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132134",
"telephone_number": "302-449-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 STANTON CHRISTIANA RD",
"address_2": "STE 101",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132134",
"telephone_number": "302-449-7484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER MEDICAL ASSOCIATES",
"enumeration_date": "2022-09-09",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "DEPUTY",
"authorized_official_first_name": "LYRON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "302-449-9314",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250691905",
"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 23, 2026; 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.