Organization Active NPI

Delaware Dermatology, P.a.

  • Dermatology Physician
  • Dover, DE
National Provider Identifier
1235282997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1994107811 Issued in DE
Legal business name
DELAWARE DERMATOLOGY, P.A.
Practice address
737 S Queen St
Suite 1
Dover, DE 19904-3529
Phone
(302) 736-1800
Fax
(302) 734-2769
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph F Andrews, M.D.
Title
President
Phone
(302) 736-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 1994107811 DE Primary

Addresses

Primary practice location

737 S Queen St
Suite 1
Dover, DE 19904-3529

Mailing address

737 S Queen St
Suite 1
Dover, DE 19904-3529
Phone (302) 736-1800

Other identifiers 1

IdentifierTypeStateIssuer
0000562402MedicaidDE

National Provider Directory

National Provider Directory

Locations

737 S Queen St
Ste 1
Dover, DE 19904
Phone (302) 734-8606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235282997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S QUEEN ST",
            "address_2": "SUITE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043529",
            "telephone_number": "302-736-1800",
            "fax_number": "302-734-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S QUEEN ST",
            "address_2": "SUITE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043529",
            "telephone_number": "302-736-1800",
            "fax_number": "302-734-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-736-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "DE",
            "license": "1994107811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000562402",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, 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.

Verify at the official NPI Registry.