Organization Active NPI

First State Pediatrics, LLC

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1235463548
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0006030 Issued in DE
Legal business name
FIRST STATE PEDIATRICS, LLC
Practice address
210 Christiana Medical Ctr
Newark, DE 19702-1652
Phone
(302) 292-1559
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. John William Murphy III, M.D.
Title
Partner
Phone
(302) 292-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C1-0006030 DE Primary

Addresses

Primary practice location

210 Christiana Medical Ctr
Newark, DE 19702-1652

Mailing address

210 Christiana Medical Ctr
Newark, DE 19702-1652
Phone (302) 292-1559

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0717313Advocare First State Pediatrics210 Christiana Medical Center, Newark, DE 19702Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

210 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 292-1559

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17596/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1235463548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021652",
            "telephone_number": "302-292-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021652",
            "telephone_number": "302-292-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-292-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0006030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.