Active NPI
Mid-Atlantic Care
- Ambulance
- Newark, DE
National Provider Identifier
1235558107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140805000407 | DE | Part B Supplier - Ambulance Service Supplier | 2668699331 | Practice locations: Dover, DE; Wilmington, DE |
National Provider Directory
National Provider DirectoryLocations
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
- Mid Atlantic Cardiovascular Prevention and Lifestyle Program LLC
- Mid Atlantic Care
- Mid Atlantic Dental Partners Delaware 1, PA
- Mid- Atlantic Dental Partners Delaware III, PA
- Mid-Atlantic Behavioral Health, LLC
- Mid-Atlantic Endoscopy Center, LLC
- Mid-Atlantic G.I. Consultants
- Mid-Atlantic Gi Consultants, P.a.
- Mid-Atlantic Occupational Health Systems, Inc.
- Mid-Atlantic Pain Institute, P.a.
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.