Organization Active NPI

ENT and Allergy of Delaware LLC

  • Specialist
  • Newark, DE
National Provider Identifier
1386946333
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENT AND ALLERGY OF DELAWARE LLC
Practice address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone
(302) 998-0300
NPI assigned
Nov 24, 2010
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Kieran Connolly, MDNPI 1700828332
Title
Owner
Phone
(302) 998-0300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

700 Prides Xing Ste 200
Newark, DE 19713-6109

Mailing address

700 Prides Xing Ste 200
Newark, DE 19713-6109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000429 DE Part B Supplier - Clinic/Group Practice 2264613504 Receives reassigned benefits from 50 practitioners
Practice locations: Middletown, DE; Newark, DE; Wilmington, DE

National Provider Directory

National Provider Directory

Locations

306 E Main St
Middletown, DE 19709
Phone (302) 378-4489

1200 Peoples Plz
Ste 1285
Newark, DE 19702
Phone (302) 832-0145

700 Prides Xing
Ste 200
Newark, DE 19713

1011 Centre Rd
Ste 200
Wilmington, DE 19805

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

1700 Shallcross Ave
Ste 1
Wilmington, DE 19806
Phone (302) 655-3239

1941 Limestone Rd
Ste 209
Wilmington, DE 19808
Phone (302) 995-2952

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1386946333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND ALLERGY OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "KIERAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-998-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.