Organization Active NPI

Oasis Family Wellness LLC

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1245033208
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OASIS FAMILY WELLNESS LLC
Practice address
2600 Glasgow Ave Ste 104
Newark, DE 19702-5703
Phone
(302) 770-0030
Fax
(302) 273-0031
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Mbwidiffu Dibal, CRNP, FNPNPI 1629473483
Title
Ceo
Phone
(302) 770-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2600 Glasgow Ave Ste 104
Newark, DE 19702-5703

Mailing address

2600 Glasgow Ave Ste 104
Newark, DE 19702-5703
Phone (302) 770-0030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404001643 DE Part B Supplier - Clinic/Group Practice 9133643760 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

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": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1245033208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-770-0030",
            "fax_number": "302-273-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-770-0030",
            "fax_number": "302-273-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "DIBAL",
        "authorized_official_first_name": "MBWIDIFFU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-770-0030",
        "authorized_official_credential": "CRNP, FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 May 8, 2026; 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.