Individual provider Active NPI

Faith Njeri Muroki

  • Gerontology Nurse Practitioner
  • Newark, DE
National Provider Identifier
1164110557
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
LP-0010616 Issued in DE
Practice address
110 Hawk Dr # 110
Newark, DE 19702-4280
Phone
(302) 897-2360
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X LP-0010616 DE Primary

Addresses

Primary practice location

110 Hawk Dr # 110
Newark, DE 19702-4280

Mailing address

110 Hawk Dr
Newark, DE 19702-4280
Phone (302) 897-2360

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712001092 DE Practitioner - Nurse Practitioner 7113387929 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Post Acute Medical Services 1 CurrentSince Nov 18, 2024 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince May 2, 2023 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Nov 18, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Nov 18, 2024 Accepting new patients

Locations

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1164110557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAWK DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024280",
            "telephone_number": "302-897-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAWK DR # 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024280",
            "telephone_number": "302-897-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUROKI",
        "first_name": "FAITH",
        "middle_name": "NJERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.