Peninsula Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1433 Issued in MD

Legal business name

PENINSULA ENDOSCOPY CENTER

Practice address

71 Omega Dr
Newark, DE 19713-2063

Phone

(302) 283-3300

Fax

(302) 283-3321

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Jenifer Lucey

Title

Billing Representative

Phone

(302) 283-3300

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kota Chandrasekhara, M.D.

  • Gastroenterology Physician
  • Delmar, MD
  • NPI 1457447872
  NPD
• Steven Turnamian, M.D.

  • Gastroenterology Physician
  • Delmar, MD
  • NPI 1265528681
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346281797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "302-283-3300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Pellenbarg, PA-C
• Michelle Dwan Pelton, C.N.M
• Susan Linda Peluso, PHP MD
• Cindy Pence
• Manogna Pendyala, MD
• Emily Penman, M.D,
• Bonita E. Penn, FNP-C
• Tiffany Crystal Penn, MSN, RN CRNP
• Mercedes Jade Pennebaker
• Mark Anthony Penta, PA-C

• Ambulatory Surgical Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.