Organization Active NPI

Rheumatology and Fibromyalgia Center of Excellence

  • Gerontology Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1225749708
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE
Practice address
29 E Main St
Middletown, DE 19709-1494
Phone
(302) 757-0697
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Jay W Lynch
Title
Practice Admonistrator
Phone
(302) 513-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

29 E Main St
Middletown, DE 19709-1494

Mailing address

29 E Main St
Middletown, DE 19709-1494
Phone (302) 513-0550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1225749708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091494",
            "telephone_number": "302-513-0550",
            "fax_number": "800-524-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091494",
            "telephone_number": "302-757-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-04-20",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE ADMONISTRATOR",
        "authorized_official_telephone_number": "302-513-0550"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.