NPIMap

Organization Active NPI

Gary M Piekarek MD LLC

  • Family Medicine Physician
  • Milford, DE
National Provider Identifier
1154632560
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10003356 Issued in DE
Legal business name
GARY M PIEKAREK MD LLC
Practice address
200 Kings Hwy
Suite 4
Milford, DE 19963-1843
Phone
(302) 424-2388
Fax
(302) 424-2347
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Gary M Piekarek, M.D.
Title
Owner/Manager
Phone
(302) 424-2388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C10003356 DE Primary

Addresses

Primary practice location

200 Kings Hwy
Suite 4
Milford, DE 19963-1843

Mailing address

200 Kings Hwy
Suite 4
Milford, DE 19963-1843
Phone (302) 424-2388

Other identifiers 3

IdentifierTypeStateIssuer
26693OtherDECOVENTRY HEALTHCARE OF DE
0000223501MedicaidDE
4197970OtherDEAETNA

National Provider Directory

National Provider Directory

Locations

200 Kings Hwy
Ste 4
Milford, DE 19963
Phone (302) 424-2388

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1154632560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY",
            "address_2": "SUITE 4",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631843",
            "telephone_number": "302-424-2388",
            "fax_number": "302-424-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY",
            "address_2": "SUITE 4",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631843",
            "telephone_number": "302-424-2388",
            "fax_number": "302-424-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M PIEKAREK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "PIEKAREK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "302-424-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10003356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE OF DE",
            "identifier": "26693",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000223501",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4197970",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.