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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131127000151 | DE | Practitioner - Physician Assistant | 5698946960 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50000492 | DE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Eldercare Physician Services LLC | Current |
Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other providers in Newark, DE
- William John Furey
- Sharon S Furrow
- Claudine Gabay
- Anthony Lewis Gabriel
- Eileen Marie Gabrielli
- Olivia Gad
- Chelsea Gadberry
- Kara Fordyce Gadomski
- Kevin Gadomski
- William James Gaffney
All providers in Newark, DE · Medical Physician Assistant in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.