Organization Active NPI

Ocean Medical Imaging of Delaware, Inc.

  • Diagnostic Radiology Physician
  • Milton, DE
National Provider Identifier
1164692240
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Dr. Jonathan L Patterson, MDNPI 1053391953
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200064773MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000454 DE Part B Supplier - Clinic/Group Practice 5193881605 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, DE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.