NPIMap

Organization Active NPI

Safe Harbor Gynecology

  • Specialist
  • Lewes, DE
National Provider Identifier
1497097240
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C20005792 Issued in DE
Legal business name
SAFE HARBOR GYNECOLOGY
Practice address
110 Anglers Rd
Suite 103
Lewes, DE 19958-1105
Phone
(302) 644-9641
Fax
(302) 644-9646
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Nancy Mondero, DO
Title
Owner
Phone
(302) 644-9641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C20005792 DE Primary

Addresses

Primary practice location

110 Anglers Rd
Suite 103
Lewes, DE 19958-1105

Mailing address

PO Box 495
Lewes, DE 19958-0495
Phone (302) 644-9641

Other identifiers 1

IdentifierTypeStateIssuer
0001170903MedicaidDE

National Provider Directory

National Provider Directory

Locations

110 Anglers Rd
Unit 103
Lewes, DE 19958
Phone (302) 644-9541

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1497097240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580495",
            "telephone_number": "302-644-9641",
            "fax_number": "410-548-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ANGLERS RD",
            "address_2": "SUITE 103",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581105",
            "telephone_number": "302-644-9641",
            "fax_number": "302-644-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "MONDERO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-644-9641",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "C20005792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001170903",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.