Organization Active NPI

Womens Care Associates of Dover, PA

  • Specialist
  • Dover, DE
National Provider Identifier
1417916206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10002026 Issued in DE
Legal business name
WOMENS CARE ASSOCIATES OF DOVER, PA
Practice address
22 Old Rudnick LN
Dover, DE 19901-4912
Phone
(302) 674-1356
Fax
(302) 678-8296
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Honorata M Bengzon, M.D.NPI 1104975283
Title
President
Phone
(302) 674-1356

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C10002026 DE Primary

Addresses

Primary practice location

22 Old Rudnick LN
Dover, DE 19901-4912

Mailing address

22 Old Rudnick LN
Dover, DE 19901-4912
Phone (302) 674-1356

Other identifiers 2

IdentifierTypeStateIssuer
0000840801MedicaidDE
0000015501MedicaidDE

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417916206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-1356",
            "fax_number": "302-678-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-1356",
            "fax_number": "302-678-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE ASSOCIATES OF DOVER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENGZON",
        "authorized_official_first_name": "HONORATA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-674-1356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "C10002026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000840801",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000015501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.