Active NPI
Somatus Nephrology of Delaware, LLC
- Nephrology Physician
- Newark, DE
National Provider Identifier
1255889572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SOMATUS NEPHROLOGY OF DELAWARE, LLC
- Practice address
- 620 Stanton Christiana Rd
Suite 101
Newark, DE 19713-2133 - Phone
- (877) 495-7662
- NPI assigned
- Sep 15, 2016
- Organization subpart
- Yes
- Parent organization
- SOMATUS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawana Lynn Davis
- Title
- Operations Consultant
- Phone
- (240) 299-6991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
620 Stanton Christiana Rd
Suite 101
Newark, DE 19713-2133
Mailing address
1650 Tysons Blvd
Suite 900
MC Lean, VA 22102-4856
Phone (877) 495-7662
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473897600000",
"number": "1255889572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 TYSONS BLVD",
"address_2": "SUITE 900",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024856",
"telephone_number": "877-495-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 STANTON CHRISTIANA RD",
"address_2": "SUITE 101",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132133",
"telephone_number": "877-495-7662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMATUS NEPHROLOGY OF DELAWARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOMATUS, LLC",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SHAWANA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OPERATIONS CONSULTANT",
"authorized_official_telephone_number": "240-299-6991"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"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 Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.