Active NPI
Ocean Medical Imaging of Delaware, Inc.
- Diagnostic Radiology Physician
- Milton, DE
National Provider Identifier
1164692240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OCEAN MEDICAL IMAGING OF DELAWARE, INC.
- Practice address
- 611 Federal St Ste 4
Milton, DE 19968-1157 - Phone
- (302) 684-5151
- Fax
- (302) 684-1977
- NPI assigned
- Mar 5, 2008
- Last updated
- Aug 29, 2024
- 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
- Dr. Jonathan L Patterson, MD
- Title
- Owner
- Phone
- (302) 684-5151
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | C1-0004811 | DE | |
| Mammography Clinic/Center | 261QR0206X | C1-0004811 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
611 Federal St Ste 4
Milton, DE 19968-1157
Mailing address
611 Federal St Ste 4
Milton, DE 19968-1157
Phone (302) 684-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200064773 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
611 Federal St
Ste 4
Milton, DE 19968
Phone (302) 684-5151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Milton, DE
- NPI 1053391953
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1164692240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 FEDERAL ST STE 4",
"city": "MILTON",
"state": "DE",
"postal_code": "199681157",
"telephone_number": "302-684-5151",
"fax_number": "302-684-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 FEDERAL ST STE 4",
"city": "MILTON",
"state": "DE",
"postal_code": "199681157",
"telephone_number": "302-684-5151",
"fax_number": "302-684-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN MEDICAL IMAGING OF DELAWARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-684-5151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "DE",
"license": "C1-0004811",
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "DE",
"license": "C1-0004811",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200064773",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.