Active NPI
Peninsula Medical Associates, LLC
- Family Medicine Physician
- Wilmington, DE
National Provider Identifier
1215135629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PENINSULA MEDICAL ASSOCIATES, LLC
- Practice address
- 2300 Pennsylvania Ave
Suite 4-C
Wilmington, DE 19806-1392 - Phone
- (302) 777-1103
- Fax
- (302) 777-1113
- NPI assigned
- Jul 6, 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
- Dr. Kamar Tayo Adeleke, M.D.
- Title
- President
- Phone
- (302) 777-1103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2300 Pennsylvania Ave
Suite 4-C
Wilmington, DE 19806-1392
Mailing address
2300 Pennsylvania Ave
Suite 4-C
Wilmington, DE 19806-1392
Phone (302) 777-1103
National Provider Directory
National Provider DirectoryLocations
706 Delaware St
Historic New Castle, DE 19720
Phone (302) 322-9565
702 E Basin Rd
New Castle, DE 19720
Phone (302) 322-9565
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1760491807
-
- Internal Medicine Physician
- Wilmington, DE
- NPI 1245236843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215135629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 PENNSYLVANIA AVE",
"address_2": "SUITE 4-C",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061392",
"telephone_number": "302-777-1103",
"fax_number": "302-777-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PENNSYLVANIA AVE",
"address_2": "SUITE 4-C",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061392",
"telephone_number": "302-777-1103",
"fax_number": "302-777-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENINSULA MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADELEKE",
"authorized_official_first_name": "KAMAR",
"authorized_official_middle_name": "TAYO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-777-1103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.