Eastern Physical Medicine and Wellness Center, LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

EASTERN PHYSICAL MEDICINE AND WELLNESS CENTER, LLC

Practice address

1009 Mattlind Way
Milford, DE 19963-5369

Phone

(302) 535-1951

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lyndon Cagampan, MDNPI 1003842436

Title

Owner/Ceo

Phone

(302) 535-1951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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

CLIA laboratory certificates

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.

• Lyndon B Cagampan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dover, DE
  • NPI 1003842436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1194317701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HAMPTON HILL DR",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199345301",
            "telephone_number": "302-535-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MATTLIND WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635369",
            "telephone_number": "302-535-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PHYSICAL MEDICINE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "CAGAMPAN",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "302-535-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakeera Kaylee Dunn, MD
• Allyson Duvall, RN, BSN
• DVH Dental Suite
• Sonya R Dyer
• Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic)
• Jessica Anne Eberly, ATC
• Melisa Marie Edler
• Guy Mitchell Edmondson, M.D.
• Loretta I Edmondson, M.D.
• Stacey Edney

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Milford, DE
• Providers in Milford, DE by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.