Organization Active NPI

Mid-Atlantic Care

  • Ambulance
  • Newark, DE
National Provider Identifier
1235558107
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MID-ATLANTIC CARE
Practice address
15 Prestbury SQ
Suite 5
Newark, DE 19713-2608
Phone
(302) 266-8306
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mr. Yousif A Omer
Title
Owner
Phone
(302) 266-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

15 Prestbury SQ
Suite 5
Newark, DE 19713-2608

Mailing address

15 Prestbury SQ
Suite 5
Newark, DE 19713-2608
Phone (302) 266-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805000407 DE Part B Supplier - Ambulance Service Supplier 2668699331 Practice locations: Dover, DE; Wilmington, DE

National Provider Directory

National Provider Directory

Locations

25 Maggies Way
Dover, DE 19901
Phone (302) 266-8306

15 Maggies Way
Ste 4
Dover, DE 19901
Phone (212) 273-9770

15 Prestbury Sq
Ste 5
Newark, DE 19713
Phone (302) 266-8306

520 Robinson Ln
Ste 5
Wilmington, DE 19805
Phone (302) 266-8306

51 Germay Dr
Ste C
Wilmington, DE 19804
Phone (302) 266-8306

3920 Vero Rd
Ste A
Baltimore, MD 21227
Phone (302) 266-8306

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1235558107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PRESTBURY SQ",
            "address_2": "SUITE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132608",
            "telephone_number": "302-266-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRESTBURY SQ",
            "address_2": "SUITE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132608",
            "telephone_number": "302-266-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "OMER",
        "authorized_official_first_name": "YOUSIF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-266-8306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "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 Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.