Organization Active NPI

Cardio-Kinetics, Inc.

  • Cardiac Rehabilitation Clinic/Center
  • Newark, DE
National Provider Identifier
1164571899
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
License
198901874 Issued in DE
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

Updated by the provider on Dec 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
99093OtherDECARDIAC REHABILITATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000365 DE Part B Supplier - Clinic/Group Practice 0547435331 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE; Wilmington, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0985573Cardio-Kinetics Inc52 N Chapel Street, Newark, DE 19711Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.