Organization Active NPI

Robert N. Dumin, M.D.

  • Specialist
  • Wilmington, DE
National Provider Identifier
1386751048
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10000743 Issued in DE
Legal business name
ROBERT N. DUMIN, M.D.
Practice address
1504 Turkey Run Rd
Wilmington, DE 19803-3918
Phone
(302) 593-2728
Fax
(302) 689-4644
NPI assigned
Aug 25, 2006
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Robert Neil Dumin, M.D.NPI 1124138250
Title
Owner
Phone
(302) 593-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C10000743 DE
Specialist 174400000X C10000743 DE Primary

Addresses

Primary practice location

1504 Turkey Run Rd
Wilmington, DE 19803-3918

Mailing address

1504 Turkey Run Rd
Wilmington, DE 19803-3918
Phone (302) 593-2728

Other identifiers 1

IdentifierTypeStateIssuer
000109901MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1386751048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TURKEY RUN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033918",
            "telephone_number": "302-593-2728",
            "fax_number": "302-689-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TURKEY RUN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033918",
            "telephone_number": "302-593-2728",
            "fax_number": "302-689-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N. DUMIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "DUMIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-593-2728",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": "C10000743",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C10000743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000109901",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.