Delaware Medical Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10004801 Issued in DE

Legal business name

DELAWARE MEDICAL CARE PA

Practice address

51 Deak Dr
Smyrna, DE 19977-1268

Phone

(302) 653-1281

Fax

(302) 653-1285

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Islam J Al-Junaidi, MDNPI 1891740866

Title

President

Phone

(302) 653-1281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Islam J Al-Junaidi MD Other name

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Delaware Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delaware Medical Group

  • Clinic/Center
  • Smyrna, DE
  • NPI 1558677153
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Islam Juma Al Junaidi, MD

  • Internal Medicine Physician
  • Smyrna, DE
  • NPI 1891740866
  Medicare reassignment Care Compare group NPD Authorized official
• Nadiene Elizabeth Haynes, MD

  • Family Medicine Physician
  • Dover, DE
  • NPI 1508874793
  Medicare reassignment Care Compare group NPD
• Janet Otchere

  • Family Nurse Practitioner
  • Smyrna, DE
  • NPI 1437009446
  Medicare reassignment Care Compare group
• Chioma Ihebereme

  • Family Nurse Practitioner
  • Smyrna, DE
  • NPI 1962239095
  Medicare reassignment NPD

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1447234232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1281",
            "fax_number": "302-653-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEAK DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771268",
            "telephone_number": "302-653-1281",
            "fax_number": "302-653-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "AL-JUNAIDI",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-653-1281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10004801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "082801525",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Islam J Al-Junaidi MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenneth M Decker II, DC
• Gregg Edward Dedomenico, PT, DPT, MS, ATC
• Matthew Defroda, D.C
• Delaware Eye Care Center PA
• Delaware Gentle Dental Group
• Delaware Medical Group
• Delaware Pharmacy LLC
• Delcare Medical LLC
• David Armando Delgado, D.M.D.
• Sophie Delima, RDN

• Internal Medicine Physician in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.

Verify at the official NPI Registry.