Active NPI
Cardio-Kinetics, Inc.
- Cardiac Rehabilitation Clinic/Center
- Newark, DE
National Provider Identifier
1164571899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Clinic/Center
- License
- 198901874
- Legal business name
- CARDIO-KINETICS, INC.
- Practice address
- 52 N Chapel St
Newark, DE 19711-2267 - Phone
- (302) 738-6635
- Fax
- (302) 738-6637
- NPI assigned
- Jan 10, 2007
- 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
- Mr. Thomas Edward Hall, B.S.
- Title
- Founder Ceo
- Phone
- (302) 738-6635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | 198901874 | DE | Primary |
Addresses
Primary practice location
52 N Chapel St
Newark, DE 19711-2267
Mailing address
52 N Chapel St
Newark, DE 19711-2267
Phone (302) 738-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99093 | Other | DE | CARDIAC REHABILITATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D0985573 | Cardio-Kinetics Inc | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
52 N Chapel St
Ste 101
Newark, DE 19711
Phone (302) 738-6635
1401 Foulk Rd
Ste 203
Wilmington, DE 19803
Phone (302) 738-6635
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1659303634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388361600000",
"number": "1164571899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 N CHAPEL ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112267",
"telephone_number": "302-738-6635",
"fax_number": "302-738-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 N CHAPEL ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112267",
"telephone_number": "302-738-6635",
"fax_number": "302-738-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIO-KINETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2013-12-30",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "FOUNDER CEO",
"authorized_official_telephone_number": "302-738-6635",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S."
},
"taxonomies": [
{
"code": "261QR0404X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
"state": "DE",
"license": "198901874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARDIAC REHABILITATION",
"identifier": "99093",
"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 Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.