Organization Active NPI

Delaware Electrophysiology and Cardiology PA

  • Clinical Cardiac Electrophysiology Physician
  • Newark, DE
National Provider Identifier
1295932861
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
C10004298 Issued in DE
Legal business name
DELAWARE ELECTROPHYSIOLOGY AND CARDIOLOGY PA
Practice address
2600 Glasgow Ave
Suite 104
Newark, DE 19702-4773
Phone
(302) 762-3585
Fax
(302) 478-2356
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Joseph C Pennington III, MD
Title
Presendent
Phone
(302) 762-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X C10004298 DE Primary

Addresses

Primary practice location

2600 Glasgow Ave
Suite 104
Newark, DE 19702-4773

Mailing address

PO Box 7541
Wilmington, DE 19803-0541
Phone (302) 762-3585

National Provider Directory

National Provider Directory

Locations

3505 Silverside Rd
Ste 104
Wilmington, DE 19810
Phone (302) 762-3585

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1295932861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7541",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198030541",
            "telephone_number": "302-762-3585",
            "fax_number": "302-478-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-762-3585",
            "fax_number": "302-478-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE ELECTROPHYSIOLOGY AND CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESENDENT",
        "authorized_official_telephone_number": "302-762-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "DE",
            "license": "C10004298",
            "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 Mar 31, 2014; 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.