Active NPI
Womens Care Associates of Dover, PA
- Specialist
- Dover, DE
National Provider Identifier
1417916206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C10002026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Honorata M Bengzon, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000840801 | Medicaid | DE | |
| 0000015501 | Medicaid | DE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Dover, DE
- NPI 1104975283
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.