Delmarva Capital, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DZ1680 Issued in MD

Legal business name

DELMARVA CAPITAL, LLC

Practice address

5717 Falls Rd
Baltimore, MD 21209

Phone

(410) 469-9837

Fax

(443) 288-4036

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Richard Cohen

Title

Owner, Director

Phone

(410) 469-9837

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlantic Medical, LLC Doing business as

Locations

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1508350141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093707",
            "telephone_number": "410-469-9837",
            "fax_number": "443-288-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-469-9837",
            "fax_number": "443-288-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA CAPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "410-469-9837",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "DZ1680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272901600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Dell-Pruett, PHD, LAT, ATC
• Charles Dell III
• Lynn A Dell, CCC-SLP
• Charles C Della Santina, M.D.
• Mary Della-Davis, L.E. (LICENSED ELECT
• Lauren Delmonico, PA-C
• JD Deloney III, LCSW-C
• Adam Matthew Delong, MD
• Julia M Delong, AU.D.
• Melissa Ladenson Delong, M.D.

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.