Organization Active NPI

Ephphatha Medical Care Services LLC

  • General Practice Physician
  • Seaford, DE
National Provider Identifier
1245884048
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EPHPHATHA MEDICAL CARE SERVICES LLC
Practice address
1350 Middleford Rd Ste 501
Seaford, DE 19973-3664
Phone
(925) 222-9572
NPI assigned
Jul 30, 2019
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Emanie Elysee Dorival, CRNP/FNPNPI 1740772904
Title
Medical Provider
Phone
(303) 444-0190

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1350 Middleford Rd Ste 501
Seaford, DE 19973-3664

Mailing address

1350 Middleford Rd Ste 501
Seaford, DE 19973-3664
Phone (925) 222-9572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191009002408 DE Part B Supplier - Clinic/Group Practice 1658602487 Receives reassigned benefits from 4 practitioners
Practice locations: Seaford, DE
O20210914001338 MD Part B Supplier - Clinic/Group Practice 1658602487 Receives reassigned benefits from 2 practitioners
Practice locations: Salisbury, MD

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
08D2176094Ephphatha Medical Care Services1350 Middleford Road, #501, Seaford, DE 19973Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

1350 Middleford Rd
Ste 501
Seaford, DE 19973
Phone (302) 444-0190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20207/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1245884048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MIDDLEFORD RD STE 501",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733664",
            "telephone_number": "925-222-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MIDDLEFORD RD STE 501",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733664",
            "telephone_number": "925-222-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHPHATHA MEDICAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "DORIVAL",
        "authorized_official_first_name": "EMANIE",
        "authorized_official_middle_name": "ELYSEE",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "303-444-0190",
        "authorized_official_credential": "CRNP/FNP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.