Individual provider Active NPI

Adrienne Buffan Neithardt, M.D.

  • Reproductive Endocrinology Physician
  • Newark, DE
National Provider Identifier
1376504134
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
C1-0008685 Issued in DE
Practice address
4735 Ogletown Stanton Rd
Suite 3217
Newark, DE 19713-2072
Phone
(302) 602-8822
NPI assigned
Mar 31, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD426616 PA
Reproductive Endocrinology Physician 207VE0102X C1-0008685 DE Primary
Reproductive Endocrinology Physician 207VE0102X 01087431A IN

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Suite 3217
Newark, DE 19713-2072

Mailing address

306 Horizon CT
Exton, PA 19341-2339
Phone (610) 363-5298

Other practice location 1

4199 Gateway Blvd Ste 2600
Newburgh, IN 47630-8970
Phone (812) 842-4530

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
I20161110001627 DE Practitioner - Obstetrics/Gynecology 8527347723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087431AINMDReproductive Endocrinology Physician
MD426616PAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Reproductive Endocrinology CurrentSince Sep 19, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 19, 2016 Accepting new patients
Anesthesia Services PA Past Accepting new patients
Delaware Institute for Reproductive Medicine Reproductive Endocrinology PastSince Feb 2, 2025 Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 3217
Newark, DE 19713
Phone (302) 602-8822

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

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

501 W 14th St
#5
Wilmington, DE 19801
Phone (302) 320-2490

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1376504134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HORIZON CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412339",
            "telephone_number": "610-363-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "SUITE 3217",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-602-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308970",
            "country_code": "US",
            "telephone_number": "812-842-4530",
            "fax_number": "812-842-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEITHARDT",
        "first_name": "ADRIENNE",
        "middle_name": "BUFFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD426616",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DE",
            "license": "C1-0008685",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IN",
            "license": "01087431A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.