Active NPI
Nanticoke GYN Associates, P.a.
- Women's Health Nurse Practitioner
- Seaford, DE
National Provider Identifier
1437185550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- LH0000104
- Legal business name
- NANTICOKE GYN ASSOCIATES, P.A.
- Practice address
- 105 N Front St
Suite B Nanticoke GYN Assoc, PA
Seaford, DE 19973-2707 - Phone
- (302) 629-2434
- Fax
- (302) 629-2459
- NPI assigned
- Jun 23, 2006
- Last updated
- Apr 20, 2008
- 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
- Dr. James Paul Rupp, M.D.
- Title
- Owner
- Phone
- (302) 629-2434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | LH0000104 | DE | Primary |
| Gynecology Physician | 207VG0400X | C10002432 | DE |
Addresses
Primary practice location
105 N Front St
Suite B Nanticoke GYN Assoc, PA
Seaford, DE 19973-2707
Mailing address
10 Tidewater Dr
Seaford, DE 19973-9768
Phone (302) 629-2434
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000020301 | Medicaid | DE | |
| 2197629 | Other | DE | CIGNA |
| G01061 | Other | DE | MEDICARE |
| 315676 | Other | DE | MAMSI PLANS |
| 4273333 | Other | DE | AETNA |
| 35303201 | Other | DE | CAREFIRST MD |
| 2089756000 | Other | DE | AMERIHEALTH |
| 26408 | Other | DE | COVENTRY |
| 000000208474 | Other | DE | UNISON |
Other names 1
- Nanticoke OBGYN Associates, P.A.
National Provider Directory
National Provider DirectoryLocations
105B N Front St
Seaford, DE 19973
Phone (302) 629-2459
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Park Ridge, IL
- NPI 1669450011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1437185550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TIDEWATER DR",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199739768",
"telephone_number": "302-629-2434",
"fax_number": "302-629-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N FRONT ST",
"address_2": "SUITE B NANTICOKE GYN ASSOC, PA",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199732707",
"telephone_number": "302-629-2434",
"fax_number": "302-629-2459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANTICOKE GYN ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "RUPP",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-629-2434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "DE",
"license": "LH0000104",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "DE",
"license": "C10002432",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000020301",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2197629",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G01061",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PLANS",
"identifier": "315676",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4273333",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD",
"identifier": "35303201",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2089756000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "26408",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000208474",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nanticoke OBGYN Associates, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Seaford, DE
- Nanticoke Chiropractic & Weight Loss Center Inc (Nanticoke Chiropractic Center)
- Nanticoke Chiropractic & Weight Loss Center,Inc
- Nanticoke Ear, Nose and Throat Associates, P.a.
- Nanticoke Employed Physicians (Nanticoke Physicians Group)
- Nanticoke Gastroenterology, P.a.
- Nanticoke Internal Medicine
- Nanticoke Orthopedics
- Nanticoke Pharmacy LLC
- Nanticoke Podiatry PA
- Nanticoke Radiology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.