Judith W Gachingiri, PA

Individual provider Active NPI Medical Physician Assistant · Newark, DE

NPI 1376668152 · NPPES record last updated Jul 18, 2022

Key facts

NPI
1376668152
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
C50000492 (DE)
Practice address
111 Continental Dr
406
Newark, DE 19713-4306
Phone
(302) 984-2577
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131127000151 DE Practitioner - Physician Assistant 5698946960 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50000492DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC Current
since Jul 4, 2017
Accepting new patients
Genesis Eldercare Physician Services LLC Current
since Jul 4, 2017
Accepting new patients
Genesis Eldercare Physician Services LLC Past Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Past Accepting new patients

Locations

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C50000492 DE Yes

Addresses

Primary practice location

111 Continental Dr
406
Newark, DE 19713-4306

Mailing address

16 Elks TRL
New Castle, DE 19720-3855
Phone (302) 345-9038

Other names

  • Judith W Lalondriz Professional name

Other providers in Newark, DE

All providers in Newark, DE · Medical Physician Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.