Family Practice Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE CENTER, PA

Practice address

34445 King Street Row
Lewes, DE 19958-4787

Phone

(302) 645-2833

Fax

(978) 327-7891

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome E. Groll, M.D.

Title

Medical Doctor

Phone

(302) 645-2833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1245381300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "302-644-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "978-327-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "GROLL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "302-645-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001138402",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excelcare at Lewes LLC
• Ellen Long Faber
• Mark Facciolo, DO
• PJ Facciolo, MSW, LSSW
• Family Practice Center
• Kelly Anne Fanto, MD
• Stephen Michael Fanto, M.D.
• Julie Marie Farace, RN
• Daniel Michael Farmer, RN
• Joseph M Farrell, D.O.

• Family Medicine Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.