Organization Active NPI

Somatus Nephrology of Delaware, LLC

  • Nephrology Physician
  • Newark, DE
National Provider Identifier
1255889572
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.