Active NPI
Nephrology Associates PA
- Nephrology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY ASSOCIATES PA
- Practice address
- 4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081 - Phone
- (032) 225-0451
- Fax
- (302) 225-0472
- NPI assigned
- May 9, 2006
- Last updated
- Oct 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin F Gavin, D.O.
- Title
- President
- Phone
- (302) 225-0451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Mailing address
4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (032) 225-0451
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000078002 | Medicaid | DE | |
| 788161400 | Medicaid | MD | |
| 8818401 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfisher@delawarekidney.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD, PA
Enrollment records 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D0664102 | Nephrology Associates PA | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
748 S New St
Ste Cd
Dover, DE 19904
Phone (302) 734-3227
20930 DuPont Blvd
Unit 101
Georgetown, DE 19947
Phone (302) 360-0142
20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438
1632 Savannah Rd
Ste 3
Lewes, DE 19958
Phone (302) 569-5186
104 Sleepy Hollow Dr
Ste 207
Middletown, DE 19709
Phone (302) 574-6800
124 Sleepy Hollow Dr
Ste 200
Middletown, DE 19709
Phone (302) 285-0369
200 Kings Hwy
Ste 1
Milford, DE 19963
Phone (302) 422-0800
1092 Old Churchmans Rd
Newark, DE 19713
Phone (302) 472-9880
4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451
315 N Carter Rd
Ste 315
Smyrna, DE 19977
Phone (302) 734-3227
701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451
111 W High St
Ste 203
Elkton, MD 21921
Phone (410) 398-3950
111 W High St
Ste 210
Elkton, MD 21921
Phone (302) 999-0144
291 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (484) 842-1798
291 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (484) 842-1798
Ownership & related parties
Subparts reporting this organization as parent 6
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nephrology Physician
- Newark, DE
- NPI 1023812559
-
- Nephrology Physician
- Dover, DE
- NPI 1417751942
-
- Nephrology Physician
- Lewes, DE
- NPI 1578367017
-
- Nephrology Physician
- Milford, DE
- NPI 1588468011
-
- Nephrology Physician
- Middletown, DE
- NPI 1689478125
-
- Nephrology Physician
- Wilmington, DE
- NPI 1982408423
Practitioners & affiliated clinicians
Practitioners 121
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.
-
- Nephrology Physician
- Newark, DE
- NPI 1982125860
-
- Nephrology Physician
- Lewes, DE
- NPI 1740807676
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1467824821
-
- Nephrology Physician
- Dover, DE
- NPI 1720291404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1407805203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 OGLETOWN STANTON RD",
"address_2": "SUITE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "032-225-0451",
"fax_number": "302-225-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 OGLETOWN STANTON RD",
"address_2": "SUITE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "032-225-0451",
"fax_number": "302-225-0472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-225-0451",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000078002",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "788161400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8818401",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfisher@delawarekidney.com",
"affiliation": "N",
"endpointDescription": "fisher direct email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "4923 Ogletown Stanton Rd",
"address_2": "Suite 200",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197132081",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.