Individual provider Active NPI

Amanda J Taylor, DO

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1366886368
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0011813 Issued in DE
Practice address
4755 Ogletown Stanton Rd Ste 6E34
Newark, DE 19718
Phone
(302) 733-6619
NPI assigned
Apr 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C2-0011813 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd Ste 6E34
Newark, DE 19718

Mailing address

501 W. 14TH Street
Gateway Building, 5TH Floor
Wilmington, DE 19801
Phone (302) 320-2620

Other practice location 1

1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2763
Phone (302) 477-3300

Other practice location 2

501 W 14th Street
Gateway Building, 5th Floor
Wilmington, DE 19801
Phone (302) 320-2620

Other names 1

  • Amanda J Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817000046 DE Practitioner - Family Practice 2668604919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-4186

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0011813DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Jul 30, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 30, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Initiatives CurrentSince Jan 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Jul 30, 2017 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4755 Ogletown Stanton Rd
#6E88
Newark, DE 19718
Phone (302) 733-4186

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 6E34
Newark, DE 19718
Phone (302) 733-4186

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

4000 Nexus Dr
Rm Nwg
Wilmington, DE 19803
Phone (302) 320-5700

501 W 14th St
Bldg 5TH
Wilmington, DE 19801
Phone (302) 320-2620

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1366886368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W. 14TH STREET",
            "address_2": "GATEWAY BUILDING, 5TH FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-320-2620",
            "fax_number": "302-320-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD STE 6E34",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foulk Rd",
            "address_2": "Suite 100B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032763",
            "country_code": "US",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 14th Street",
            "address_2": "Gateway Building, 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "19801",
            "country_code": "US",
            "telephone_number": "302-320-2620",
            "fax_number": "302-320-2638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0011813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "COOPER",
            "middle_name": "J",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.